Acute Disseminated Encephalomyelitis

ABSTRACT

Acute disseminated encephalomyelitis is a multifocul inflammatory myelinopathy of the CNS which is generally but not exclusively monophasic. Typically it follows after vaccination or some viral infection. The diagnosis is difficult due to insensitivity of CT imaging and lack of pathognomic clinical and laboratory features. We highlight the role of MRI in diagnosing an unusual case of ADEM presenting to us with fever, seizures, hemiparesis and drowsiness who improved remarkably with methyl prednisolone therapy.