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Acute disseminated encephalomyelitis: the importance of early magnetic resonance imaging
Author(s) -
Tahan A. Al,
Arora S.,
Alzeer A.,
Tahan F. Al,
Malabarey T.,
Daif A.
Publication year - 1997
Publication title -
european journal of neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.881
H-Index - 124
eISSN - 1468-1331
pISSN - 1351-5101
DOI - 10.1111/j.1468-1331.1997.tb00299.x
Subject(s) - acute disseminated encephalomyelitis , medicine , magnetic resonance imaging , pediatrics , encephalomyelitis , intensive care medicine , radiology , multiple sclerosis , immunology
The diagnosis of acute disseminated encephalomyelitis (ADEM) is frequently missed or delayed with consequent delay in instituting therapy in the crucial phase of the illness. The role of MRI in the diagnosis of ADEM is well established, however, the value of its early utilization of treatment on the outcome of patients has not been adequately stressed. Three patients with ADEM are described. Delay in the diagnosis of the first was associated with severe sequelae, while in the other two early diagnosis and institution of corticosteroid therapy which was facilitated by MRI, was associated with a better outcome. MRI should be carried out early once the diagosis of ADEM is entertained.