Myelin insults differentials on MRI in children: In the light of an ADEM case.
Acute disseminated encephalomyelitis
Demyelinating diseases
MRI
Pediatrics
Vaccination
Journal
Radiology case reports
ISSN: 1930-0433
Titre abrégé: Radiol Case Rep
Pays: Netherlands
ID NLM: 101467888
Informations de publication
Date de publication:
Jan 2024
Jan 2024
Historique:
received:
26
06
2023
revised:
22
08
2023
accepted:
24
08
2023
medline:
30
11
2023
pubmed:
30
11
2023
entrez:
30
11
2023
Statut:
epublish
Résumé
Acute disseminated encephalomyelitis (ADEM) is an acute and rapidly progressive auto-immune demyelinating disorder in the central nervous system. It is a rare disease but is more frequently observed in the pediatric population. We report a case of a monophasic postvaccination ADEM, which presented with paraparesis associated with fever. It showed a favorable evolution under corticosteroids, without recurrence after 3 years of follow-up. The diagnosis was established due to the postvaccination context and the MRI abnormalities characteristics. This case prompted a general discussion about the etiologies of myelin insults in children, especially demyelinating disorders, by shedding the light on their MRI features.
Identifiants
pubmed: 38033671
doi: 10.1016/j.radcr.2023.08.107
pii: S1930-0433(23)00628-3
pmc: PMC10681876
doi:
Types de publication
Case Reports
Langues
eng
Pagination
408-413Informations de copyright
© 2023 Published by Elsevier Inc. on behalf of University of Washington.
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