An unusual case of acute disseminated encephalomyelitis confined to brainstem.
Acute disseminated encephalomyelitis (ADEM) is an immune-mediated demyelinating disorder usually encountered in children or adolescents and characterized by multifocal neurological deficits of rapid onset. Typical target areas of demyelination include the corona radiata, centrum semiovale, periventricular white matter, cerebellar peduncles and brainstem. Involvement of deep gray matter nuclei is also frequent. We report a 6-year-old boy with ADEM who had only brainstem involvement. Serial magnetic resonance images representing the stage of disease and response to steroid treatment are presented.
Firat
Ahmet Kemal
AK
Department of Radiology, Inonu University School of Medicine 44069, Malatya, Turkey.
Karakaş
Hakki Muammer
HM
Yakinci
Cengiz
C
Altinok
Tayfun
T
Alkan
Alpay
A
Biçak
Uğur
U
D001933:Brain Stem / Q000000981:diagnostic imaging / Q000473:pathology*; D002648:Child; D003937:Diagnosis, Differential; D018450:Disease Progression; D004569:Electroencephalography / Q000379:methods; D004673:Encephalomyelitis, Acute Disseminated / Q000175:diagnosis* / Q000188:drug therapy; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods*; D008775:Methylprednisolone / Q000627:therapeutic use; D018696:Neuroprotective Agents / Q000627:therapeutic use; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome
D018696:Neuroprotective Agents; D008775:Methylprednisolone