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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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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container_title Case reports in pediatrics
container_volume 2024
creator Shrestha, Mrinal
Joshi, Anish
Pandey, Ajit
Chaudhary, Aashutosh
Shrestha, Aman Raj
Koju, Naman
Timilsina, Sujan
Chaudhary, Ashlesha
description 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.
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subjects Case Report
Children & youth
Coma
Consciousness
Coronaviruses
COVID-19 vaccines
Dengue fever
Disease
Encephalomyelitis
Fainting
Hallucinations
Headaches
Illnesses
Infections
Patients
Pediatrics
title Acute Disseminated Encephalomyelitis Presenting with Neuropsychiatric Symptoms
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