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Acute disseminated encephalomyelitis

Case contributed by Ahmed Abdrabou
Diagnosis probable

Presentation

Seizures. The child had illness 3 weeks before

Patient Data

Age: 5 years
Gender: Female

Multiple areas of abnormal signal intensity displaying bright signal in T2 and FLAIR seen at right caudate and lentiform nucleus, both thalami, periacqueductal white matter, right crus cerebri, pons and both middle cerebellar peduncles and adjacent cerebellum as well as medulla oblongata and proximal cervical cord.

Case Discussion

Diagnosis: ADEM by clinical and MRI features. Differentials in this case includes Leigh disease, multiple sclerosis and Behcet's disease.

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