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Successful Recovery of a Fulminant Form of Acute Disseminated Encephalomyelitis (ADEM) with Intravenous Steroids
Authors:Jens Kuhn and Heiko Bewermeyer
Institution:(1) Department of Neurology, Hospitals of the City of Cologne, Merheim Hospital, Cologne, Germany;(2) Klinik für Neurologie, Kliniken der Stadt Köln, Krankenhaus Merheim, Ostmerheimerstraße 200, 51109 Köln, Germany
Abstract:Abstract Acute disseminated encephalomyelitis (ADEM) is a rare inflammatory demyelinating disease of the central nervous system mostly associated with a preceding infection or vaccination. It is characterized by multifocal white matter lesions on neuroimaging. A patient is described who developed a fulminant form of ADEM after a bacterial skin infection. Despite poor prognostic factors and extensive white matter lesions, the patient recovered dramatically under high-dose administration of steroids.
Keywords:ADEM  Acute disseminated encephalomyelitis  Fulminant form  Successful recovery
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