1.Acute disseminated encephalomyelitis with tremor as the initial symptom
Jin Park ; Hyeon Jin Kim ; Jae-Won Hyun ; Ho Jin Kim ; Tae-Kyung Kim ; A-reum Jung ; Hyang Woon Lee ; Jung Hyun Park ; KyoungGyu Choi ; Young-Joo Lee ; Ji Young Yun
Neurology Asia 2016;21(1):89-91
Multiple neurological deficits can occur in acute disseminated encephalomyelitis (ADEM) but rarely
movement disorders. A 24-year-old female patient was admitted because of tremor in bothupper
limbs. After admission, her mental status progressively declined into coma. Brain magnetic resonance
imaging and cerebrospinal fluid analysis were compatible with ADEM. Tests for central nervous
system infection and autoimmune diseases were all negative. She was given steroid and IVIG, and
the patient fully improved. We report here the first case of adult ADEM, who presented with tremor
as the initial neurological manifestation.
Encephalitis
;
Nervous System Diseases