ADEM (acute Disseminated Encephalomyelitis)

Etiology

  • Autoimmune d/o
  • Dx of exclusion
  • Often triggered by an infection→ URI, EBV
  • Post vaccination, other

Risk Factors

  • Overall uncommon
  • Though kids>>adults

Symptoms

  • Acute
  • Progressive
  • Ha
  • F
  • Confusion
  • Weakness
  • Ataxia
  • Focal deficits

Physical Exam Findings

  • F
  • Focal deficits
  • Patchy UMN and sensory findings