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Acute Disseminated Encephalomyelitis Confined to Brainstem
Author(s) -
Tateishi K.,
Takeda K.,
Mannen T.
Publication year - 2002
Publication title -
journal of neuroimaging
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.822
H-Index - 64
eISSN - 1552-6569
pISSN - 1051-2284
DOI - 10.1111/j.1552-6569.2002.tb00093.x
Subject(s) - medicine , acute disseminated encephalomyelitis , pleocytosis , brainstem , pons , magnetic resonance imaging , cerebrospinal fluid , differential diagnosis , encephalomyelitis , pathology , lesion , multiple sclerosis , radiology , immunology
A 21‐year‐old man was troubled with a subacute history of brainstem involvement and a leukocyte pleocytosis in the cerebrospinal fluid. Magnetic resonance imaging (MRI) demonstrated a massive lesion with Gd enhancement in the pons. Steroid therapy, not antiviral drugs, was dramatically effective for the mass reduction and symptom improvement. Over 4 years no recurrence has been recognized, so this case was diagnosed to be an unusual case of acute disseminated encephalomyelitis (ADEM). ADEM must be included in the differential diagnosis for a brainstem mass in MRI.