Acute disseminated encephalomyelitis presenting as acute psychotic disorder.
A 5 year old boy and a 10 year old girl presented with acute onset of psychotic disorder, which occurred one week after an upper respiratory infection. MRI images of brain were consistent with the diagnosis of acute disseminated encephalomyelitis (ADEM) in both cases. ADEM is one of the differential diagnoses to be considered when acute psychotic disorder occurs during childhood.
Krishnakumar
P
P
Department of Pediatrics, Institute of Maternal and Child Health, Medical College, Calicut, Kerala, India. pkrshnakumar@gmail.com
Jayakrishnan
M P
MP
Beegum
M Nusrath
MN
Riyaz
A
A
D000208:Acute Disease; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D014150:Antipsychotic Agents / Q000627:therapeutic use; D002648:Child; D002675:Child, Preschool; D003937:Diagnosis, Differential; D004673:Encephalomyelitis, Acute Disseminated / Q000175:diagnosis* / Q000188:drug therapy / Q000503:physiopathology; D005260:Female; D006220:Haloperidol / Q000627:therapeutic use; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008775:Methylprednisolone / Q000627:therapeutic use; D018696:Neuroprotective Agents / Q000627:therapeutic use; D011618:Psychotic Disorders / Q000175:diagnosis* / Q000503:physiopathology; D018967:Risperidone / Q000627:therapeutic use
D000893:Anti-Inflammatory Agents; D014150:Antipsychotic Agents; D018696:Neuroprotective Agents; D006220:Haloperidol; D018967:Risperidone; D008775:Methylprednisolone