title: Refractory Fulminant Acute Disseminated Encephalomyelitis (ADEM) in an Adult.
abstract: Acute disseminated encephalomyelitis (ADEM) is characterized by its rapid progression with variable symptoms and severity in adults and children. Multiple therapeutic options have been proposed, but solid evidence is yet to be gathered. We describe an adult man with a fulminant form of ADEM unresponsive to numerous treatment modalities.
authors.affiliation: Department of Neurology, Loyola University Medical Center, Stritch School of Medicine , Maywood, IL , USA.
authors.forename: Federico
authors.initials: F
authors.lastname: Rodríguez-Porcel
authors.affiliation: Department of Neurology, Loyola University Medical Center, Stritch School of Medicine , Maywood, IL , USA.
authors.forename: Alejandro
authors.initials: A
authors.lastname: Hornik
authors.affiliation: Department of Radiology, Loyola University Medical Center, Stritch School of Medicine , Maywood, IL , USA.
authors.forename: Jordan
authors.initials: J
authors.lastname: Rosenblum
authors.affiliation: Department of Pathology, Loyola University Medical Center, Stritch School of Medicine , Maywood, IL , USA.
authors.forename: Ewa
authors.initials: E
authors.lastname: Borys
authors.affiliation: Department of Neurology, Loyola University Medical Center, Stritch School of Medicine , Maywood, IL , USA.
authors.forename: José
authors.initials: J
authors.lastname: Biller
keywords: acute disseminated encephalomyelitis; corticosteroids; cyclophosphamide; intravenous immunoglobulin; plasmapheresis; rituximab