title: [Acute disseminated encephalomyelitis after rabies vaccination: a case report].
abstract: Acute disseminated encephalomyelitis (ADEM) is an inflammatory demyelinating disease of the central nervous system. It is a disease whose incidence is not precisely known. The presumed mechanism is demyelination of the immune-mediated central nervous system. There is no pathognomonic clinical presentation in ADEM. The combination of multifocal neurological disorders arising in the aftermath of an infection or vaccination should alert the clinician. We report a case of ADEM in an 8-year-old child occurring after antirabies vaccination. The diagnosis was made by nuclear magnetic resonance imaging (bilateral and multifocal lesions in the subcortical occipitoparietal and frontal left anterior white matter with involvement of U fibers) and a history of antirabies vaccination. The clinical course was marked by the appearance of motor and visual effects.
authors.affiliation: Service de pédiatrie A, faculté de médecine et de pharmacie, université Cadi-Ayyad Marrakech, hôpital mère-enfant, CHU Mohammed VI, Marrakech, Maroc. Electronic address: arrab_raja@yahoo.fr.
authors.forename: R
authors.initials: R
authors.lastname: Arrab
authors.affiliation: Service de pédiatrie A, faculté de médecine et de pharmacie, université Cadi-Ayyad Marrakech, hôpital mère-enfant, CHU Mohammed VI, Marrakech, Maroc.
authors.forename: G
authors.initials: G
authors.lastname: Draiss
authors.affiliation: Service de pédiatrie A, faculté de médecine et de pharmacie, université Cadi-Ayyad Marrakech, hôpital mère-enfant, CHU Mohammed VI, Marrakech, Maroc.
authors.forename: N
authors.initials: N
authors.lastname: Rada
authors.affiliation: Service de pédiatrie A, faculté de médecine et de pharmacie, université Cadi-Ayyad Marrakech, hôpital mère-enfant, CHU Mohammed VI, Marrakech, Maroc.
authors.forename: M
authors.initials: M
authors.lastname: Bourouss
authors.affiliation: Service de pédiatrie A, faculté de médecine et de pharmacie, université Cadi-Ayyad Marrakech, hôpital mère-enfant, CHU Mohammed VI, Marrakech, Maroc.
authors.forename: M
authors.initials: M
authors.lastname: Bouskraoui
mesh_terms: D001921:Brain / Q000473:pathology; D002648:Child; D004673:Encephalomyelitis, Acute Disseminated / Q000139:chemically induced* / Q000175:diagnosis; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D011819:Rabies Vaccines / Q000009:adverse effects*; D066127:White Matter / Q000473:pathology
chemical_list: D011819:Rabies Vaccines