Author: Lee, Yun Jin
Title: Acute disseminated encephalomyelitis in children: differential diagnosis from multiple sclerosis on the basis of clinical course Document date: 2011_6_30
ID: zroskqmk_32
Snippet: including signs of encephalitis, bacterial and viral meningitis or encephalitis must be considered and ruled out. In the setting of nonspecific CSF abnormalities and identification of white-matter lesions on MRI, other inflammatory demyelinating disorders should be considered. These include ADEM, MS, optic neuritis, transverse myelitis, neuromyelitis optica, and other rare disorders. At initial onset, ADEM and MS cannot be distinguished absolutel.....
Document: including signs of encephalitis, bacterial and viral meningitis or encephalitis must be considered and ruled out. In the setting of nonspecific CSF abnormalities and identification of white-matter lesions on MRI, other inflammatory demyelinating disorders should be considered. These include ADEM, MS, optic neuritis, transverse myelitis, neuromyelitis optica, and other rare disorders. At initial onset, ADEM and MS cannot be distinguished absolutely. In children, subsequent attacks of MS may not occur for months or years. Furthermore, a small number of children with ADEM may finally develop MS, but it is difficult to accurately predict in which patients this will occur. Therefore, prolonged follow-up is required to establish a diagnosis.
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