All issues > Volume 35(7); 1992

Case Report

J Korean Pediatr Soc. 1992;35(7):1019-1025. Published online July 15, 1992.

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

Soo Jong SJ Hong¹, Hyung Nam HN Moon¹

¹Department of Pediatrics, College of Medicine, University of Ulsan, Seoul, Korea

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.

Keywords :Acute Disseminated Encephalomyelitis(ADEM), Magnetic Resonance Imaging