title: [Child with acute disseminated encephalomyelitis (ADEM) initially presenting with psychiatric symptoms].
abstract: We recently evaluated a patient with ADEM after a mycoplasma infection who initially presented with psychiatric symptoms, including hyperkinesis, irritability, and emotional outbursts. Psychiatric symptoms in ADEM are rare and usually suggest some underlying psychiatric or psychogenic disorder. This case illustrates that in children who initially present with psychiatric symptoms, even in the absence of typical neurologic symptoms associated with encephalitis such as disturbance of consciousness or seizures, ADEM should be considered in the differential diagnosis. Recent history of infections or vaccinations should also be considered.
authors.affiliation: Department of Neurology, Chiba Children's Hospital, Chiba. takuoma@aol.com
authors.forename: Taku
authors.initials: T
authors.lastname: Omata
authors.forename: Hidee
authors.initials: H
authors.lastname: Arai
authors.forename: Yuzo
authors.initials: Y
authors.lastname: Tanabe
mesh_terms: D002648:Child; D003244:Consciousness Disorders / Q000209:etiology; D003937:Diagnosis, Differential; D004673:Encephalomyelitis, Acute Disseminated / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D001523:Mental Disorders / Q000209:etiology*; D008775:Methylprednisolone / Q000008:administration & dosage; D009175:Mycoplasma Infections / Q000150:complications*; D020551:Pulse Therapy, Drug; D012640:Seizures / Q000209:etiology; D016896:Treatment Outcome
chemical_list: D008775:Methylprednisolone