Year: 2024
Type: article
Study design: Case Report
Abstract: Acute disseminated encephalomyelitis (ADEM) or post-infectious encephalomyelitis is a rare neurological condition particularly affecting young children.We report a case of 1-year 1-year-old boy with high grade fever, altered mental status, lower limb weakness and seizures. One week before these symptoms the child had complaints of loose stools and vomiting. His initial reports showed leukopenia, raised acute phase reactants and CSF showed elevated proteins. Clinical evaluation and MRI imaging confirmed the diagnosis of ADEM. Prompt treatment with high dose corticosteroids led to gradual improvement in neurological symptoms. The child was discharged with a tapering course of oral corticosteroids and followed up after 1 week, then after 2 weeks with improved neurological deficit and advised for further close follow-up.This case emphasizes the importance of early recognition, aggressive treatment, and long-termmonitoring in managing ADEM in children. Keywords: Acute Disseminated Encephalomyelitis,ADEM,Pediatrics,IVIG
Authors: Ahtisham Ali, Salwa Naeem, Maira Mahmood, Muhammad Usman Ajmal, Agha Shabbir Ali
Language: English
Subfield: Pathology and Forensic Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: bronze
OpenAlex ID: W4405124779