Presentation
Seizures. The child had illness 3 weeks before
Patient Data
Age: 5 years
Gender: Female
From the case:
Acute disseminated encephalomyelitis
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/23002/annotated_viewer_json?lang=us"}
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.