Acute Disseminated Encephalomyelitis (ADEM)
What is Acute Disseminated Encephalomyelitis?
Acute disseminated encephalomyelitis (ADEM) is a neurological disorder characterized by inflammation of the brain and spinal cord caused by damage to the myelin sheath. The myelin sheath is the fatty covering, which acts as an insulator, on nerve fibers in the brain. ADEM may occur in association with a viral or bacterial infection, as a complication of inoculation or vaccination, or without a preceding cause. Onset of the disorder is sudden. Symptoms, which vary among individuals, may include headache, delirium, lethargy, coma, seizures, stiff neck, fever, ataxia, optic neuritis, transverse myelitis, vomiting, and weight loss. Other symptoms may include monoparesis (paralysis of a single limb) or hemiplegia (paralysis on one side of the body). The disorder occurs in children more often than in adults.
Links to additional information:
From the 2010 Rare Neuroimmunologic Disorders Symposium
Distinguishing Pediatric TM from ADEM and CIDP: Clinical and Genetic Aspects
- Gregory Barnes, MD, PhD, Vanderbuilt University
View Video |
From the 2008 Rare Neuroimmunologic Disorders Symposium
Acute Disseminated Encephalomyelitis (ADEM)
- Benjamin Greenberg, MD, MHS
Johns Hopkins University, Baltimore, MD
View Video 27 min |
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