Acute Disseminated Encephalomyelitis Presenting with Neuropsychiatric Symptoms

Acute disseminated encephalomyelitis (ADEM) is a rare immune-mediated pathology involving inflammatory demyelination of the central nervous system. . In this case report, we present the case of a nine-year-old female who exhibited altered mental status and focal neurological deficit, subsequently di...

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Bibliographic Details
Published in:Case reports in pediatrics 2024, Vol.2024, p.9810844
Main Authors: Shrestha, Mrinal, Joshi, Anish, Pandey, Ajit, Chaudhary, Aashutosh, Shrestha, Aman Raj, Koju, Naman, Timilsina, Sujan, Chaudhary, Ashlesha
Format: Article
Language:English
Subjects:
Case Report
Children & youth
Coma
Consciousness
Coronaviruses
COVID-19 vaccines
Dengue fever
Disease
Encephalomyelitis
Fainting
Hallucinations
Headaches
Illnesses
Infections
Patients
Pediatrics
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Summary:Acute disseminated encephalomyelitis (ADEM) is a rare immune-mediated pathology involving inflammatory demyelination of the central nervous system. . In this case report, we present the case of a nine-year-old female who exhibited altered mental status and focal neurological deficit, subsequently diagnosed as ADEM based on clinical presentation and magnetic resonance imaging (MRI) findings. The patient was managed symptomatically along with glucocorticoids. ADEM must be suspected when a patient, especially a child, presents with prodromal symptoms followed by multifocal neurological symptoms. Diagnosis can be established with an MRI brain scan. Most patients respond to high-dose intravenous glucocorticoids.
ISSN:2090-6803
2090-6811
DOI:10.1155/2024/9810844