Multiphasic Disseminated Encephalomyelitis (MDEM): Report of 3 Cases.
- Author:
Bum Chun SUH
1
;
Seung Min KIM
;
Heung Dong KIM
;
Ha Young SHIN
;
Jeong Hee CHO
;
Il Nam SUNWOO
Author Information
1. Department of Neurology, Yonsei University College of Medicine, Seoul, Korea. sunwooin@yumc.yonsei.ac.kr
- Publication Type:Case Report
- Keywords:
Acute disseminated encephalomyelitis;
Multiphasic disseminated encephalomyelitis
- MeSH:
Abdominal Pain;
Brain;
Encephalomyelitis*;
Encephalomyelitis, Acute Disseminated;
Fever;
Headache;
Leukocytosis;
Magnetic Resonance Imaging;
Neck;
Neurologic Manifestations;
Seizures
- From:Journal of the Korean Neurological Association
2005;23(3):392-395
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We report 3 cases of recurrent acute disseminated encephalomyelitis (ADEM) known as multiphasic disseminated encephalomyelitis (MDEM). The 3 cases presented with fever, headache, neck stiffness, abdominal pain, seizure and decreased mentality as well as focal neurologic deficits, which showed relatively good steroid responsiveness. Brain MRI revealed variable sized, multifocal, subcortical white matter lesions with gray matter involvement. The CSF study showed mild pleocytosis with negative oligoclonal band.