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</topic><topic id="https://vocabulario.abcd.usp.br/pt-br/?tema=34953"><instanceOf><topicRef xlink:href="#term"/></instanceOf><baseName><baseNameString>ENCEFALOMIELITE AGUDA DISSEMINADA</baseNameString></baseName>  <occurrence>    <instanceOf>      <topicRef xlink:href="#scope-note"/>    </instanceOf><baseName><baseNameString><![CDATA[ Processo inflamatório agudo ou subagudo do sistema nervoso central, caracterizado histologicamente por múltiplos focos de desmielinização perivascular. O início dos sintomas, normalmente ocorre vários dias após uma infecção ou imunização viral aguda, mas pode coincidir com início da infecção, ou raramente, nenhum evento antecedente pode ser identificado. Entre as manifestações clínicas estão confusão, sonolência, febre, rigidez da nuca e movimentos involuntários. A enfermidade pode progredir para o coma e eventualmente ser fatal. (Tradução livre do original : Adams et al., Principles of Neurology, 6th ed, p921)<p>Fonte: DeCS. Disponível em: https://decs.bvsalud.org<p> ]]></baseNameString></baseName>  </occurrence></topic>  <association>    <instanceOf>      <topicRef xlink:href="#broader-narrower"/>    </instanceOf>    <member>      <roleSpec>  <topicRef xlink:href="#narrower"/>      </roleSpec>      <topicRef xlink:href="#https://vocabulario.abcd.usp.br/pt-br/?tema=34953"/>    </member>    <member>      <roleSpec>  <topicRef xlink:href="#broader"/>      </roleSpec>      <topicRef xlink:href="#https://vocabulario.abcd.usp.br/pt-br/?tema=34911"/>    </member>  </association></topicMap>