ISSN - 0973-0958

Pediatric Oncall Journal View Article

Acute Disseminated Encephalomyelitis- Myriads of Presentation
Mukul Aggarwal1, Vikrant Sood1, K C Aggarwal1, Archana Aggarwal2.
1Department of Pediatrics, VMMC and Safdarjang Hospital, New Delhi, India,
2Department of Radio-diagnosis, VMMC and Safdarjang Hospital, New Delhi, India.
This retrospective case series of 6 patients illustrates various clinical presentations of acute disseminated encephalomyelitis (ADEM). The patients presented with acute onset of focal neurological deficit (3 patients), psychosis (1 patient) and ataxia (1 patient) and visual loss (1 patient). Magnetic Resonance Imaging (MRI) of brain showed characteristic radiological changes. Complete recovery was seen in 5 patients, with no evidence of recurrence on follow up. Considering such a myriad presentations, this entity should always be considered in differential diagnosis of acute encephalopathy. MRI should form a part of workup in all cases.

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