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A Case of Acute Disseminated Encephalomyelitis -Magnetic Resonance Imaging Findings-

Journal of the Korean Pediatric Society 1992;35(7):1019-1025.
Published online July 15, 1992.
A Case of Acute Disseminated Encephalomyelitis -Magnetic Resonance Imaging Findings-
Soo Jong Hong, Hyung Nam Moon
Department of Pediatrics, College of Medicine, University of Ulsan, Seoul, Korea
Acute Disseminated Encephalomyelitis 1례 -뇌자기공명영상 소견을 중심으로-
홍수종, 문형남
울산대학교 의과대학 소아과학교실
Abstract
Acute disseminated encephalomyelitis(ADEM) is an acute inflammatory demyelinating disease of the central nervous system. We experienced a case of ADEM in an 8 year-old boy who showed headache, vomiting, weakness of lower extremities and visual disturbance. Brain magnetic resonance imaging demonstrated multiple patch high signal intensity in both optic nerves, both thalamus, splenium of corpus callosum, and subcortical white matter with enhancing optic nerves. But level of IgG in cerebrospinal fluid was not elevated. Follow-up brain magnetic resonance imaging after intervals of 2 months demonstrated considerable resolution on the lesions, and his visual acuity was normalized after intervals of 3 months. We report the case of an 8 year-old boy with mild fever, headache, vomiting, weakness of lower extremities and visual disturbance, who was diagnosed as ADEM with clinical course and serial MRI.
Key Words: Acute Disseminated Encephalomyelitis(ADEM), Magnetic Resonance Imaging


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