Acute disseminated encephalomyelitis: a riddle wrapped in a mystery inside an enigma.
The difficulties in establishing a diagnosis of acute disseminated encephalomyelitis (ADEM) are illustrated in this case report, which attempts to raise awareness of the condition among general physicians, since they are the practitioners most likely to see such acute neurological presentations. Clinical and investigative features which raise the index of suspicion for the diagnosis of ADEM are outlined.
Halton General Hospital, Runcorn, Cheshire.
L
L
John
A A
AA
Khaleeli
A J
AJ
Larner
D000208:Acute Disease; D002556:Cerebrospinal Fluid Proteins / Q000032:analysis; D003937:Diagnosis, Differential; D004679:Encephalomyelitis / Q000134:cerebrospinal fluid / Q000175:diagnosis*; D005947:Glucose / Q000134:cerebrospinal fluid; D006801:Humans; D007958:Leukocyte Count; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D008875:Middle Aged
D002556:Cerebrospinal Fluid Proteins; D005947:Glucose