title: [Relapsing remitting multiple sclerosis or multiphasic disseminated encephalomyelitis?].
abstract: BACKGROUND
  The imaging presentation of some forms of multiple sclerosis may be misleading. In patients with a history of recent infection or vaccination, especially for adolescents or young adults, the differential diagnosis with acute disseminated encephalomyelitis can be difficult.
  
  
  METHODS
  We report an unusual clinical and radiological presentation of multiple sclerosis, mimicking acute disseminated encephalomyelitis. We discuss clinical and radiological differential diagnosis, and the outcome after immunosuppressive treatment.
  
  
  CONCLUSIONS
  Distinguishing between acute disseminated encephalomyelitis and the first relapse of multiple sclerosis can be difficult. Brain imaging is a precious tool for differentiating between the two diseases.
authors.affiliation: Service de Neurologie, Hôpital Pasteur, CHU de Nice, 06002 Nice. lebrun@chu-nice.fr
authors.forename: C
authors.initials: C
authors.lastname: Lebrun
authors.forename: G
authors.initials: G
authors.lastname: Ghetau
authors.forename: V
authors.initials: V
authors.lastname: Bourg
authors.forename: S
authors.initials: S
authors.lastname: Chanalet
authors.forename: M
authors.initials: M
authors.lastname: Chatel
mesh_terms: D000293:Adolescent; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D001921:Brain / Q000473:pathology; D003937:Diagnosis, Differential; D004673:Encephalomyelitis, Acute Disseminated / Q000175:diagnosis* / Q000473:pathology; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008775:Methylprednisolone / Q000627:therapeutic use; D020529:Multiple Sclerosis, Relapsing-Remitting / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology
chemical_list: D000893:Anti-Inflammatory Agents; D008775:Methylprednisolone