Acute Disseminated Encephalomyelitis Quiz

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Kenji Taylor, MD, MSc

Kenji Taylor, MD, MSc (Family Medicine, Primary Care)

Dr. Taylor is a Japanese-African American physician who grew up and was educated in the United States but spent a considerable amount of time in Japan as a college student, working professional and now father of three. After graduating from Brown, he worked in finance first before attending medical school at Penn. He then completed a fellowship with the Centers for Disease Control before going on to specialize in Family and Community Medicine at the University of California, San Francisco (UCSF) where he was also a chief resident. After a faculty position at Stanford, he moved with his family to Japan where he continues to see families on a military base outside of Tokyo, teach Japanese residents and serve remotely as a medical director for Roots Community Health Center. He also enjoys editing and writing podcast summaries for Hippo Education.

Shohei Harase, MD

Shohei Harase, MD (Neurology)

Dr. Harase spent his junior and senior high school years in Finland and the U.S. After graduating from the University of Washington (Bachelor of Science, Molecular and Cellular Biology), he worked for Apple Japan Inc. before entering the University of the Ryukyus School of Medicine. He completed his residency at Okinawa Prefectural Chubu Hospital, where he received the Best Resident Award in 2016 and 2017. In 2021, he joined the Department of Cerebrovascular Medicine at the National Cerebral and Cardiovascular Center, specializing in hyperacute stroke.

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Content updated on Mar 31, 2024

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  • My body is jerking

  • Twitching

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  • Fever seizures (with fever of >100.4°F / 38°C)

  • Fever then no fever then fever again

  • The first seizure

  • Headache on the side of my head

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What is Acute Disseminated Encephalomyelitis?

Acute disseminated encephalomyelitis involves widespread inflammation of the brain and spinal cord, resulting in damage to nerve fibers and their protective linings. It is a result of inflammation that occurs after after an infection or immunization. While it can affect anyone it is more common in children.

Typical Symptoms of Acute Disseminated Encephalomyelitis

  • Weakness on one side of the body

  • Seizure

  • Headache

  • Fever

  • Pain over the temples

  • Forehead pain

  • My brain is not functioning right now

  • Nausea or vomiting

Doctor's Diagnostic Questionson Acute Disseminated Encephalomyelitis

Your doctor may ask these questions to check for this disease:

  • Are you experiencing an inability to move one side of your body?

  • Have you had a seizure?

  • Do you have headaches or a heavy feeling in your head?

  • Do you have a fever?

  • Do you have temple pain?

Treatmentof Acute Disseminated Encephalomyelitis

Treatment for this condition varies from case to case, but commonly involves suppressing the body's immune system with corticosteroids, immunoglobulins, etc.

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Diseases related to Acute Disseminated Encephalomyelitis

References

  • Parsons T, Banks S, Bae C, Gelber J, Alahmadi H, Tichauer M. COVID-19-associated acute disseminated encephalomyelitis (ADEM). J Neurol. 2020 Oct;267(10):2799-2802. doi: 10.1007/s00415-020-09951-9. Epub 2020 May 30. PMID: 32474657; PMCID: PMC7260459.

    https://link.springer.com/article/10.1007/s00415-020-09951-9

  • Tenembaum S, Chitnis T, Ness J, Hahn JS; International Pediatric MS Study Group. Acute disseminated encephalomyelitis. Neurology. 2007 Apr 17;68(16 Suppl 2):S23-36. doi: 10.1212/01.wnl.0000259404.51352.7f. PMID: 17438235.

    https://n.neurology.org/content/68/16_suppl_2/S23

  • Cole J, Evans E, Mwangi M, Mar S. Acute Disseminated Encephalomyelitis in Children: An Updated Review Based on Current Diagnostic Criteria. Pediatr Neurol. 2019 Nov;100:26-34. doi: 10.1016/j.pediatrneurol.2019.06.017. Epub 2019 Jul 3. PMID: 31371120.

    https://www.pedneur.com/article/S0887-8994(18)31161-5/fulltext

  • Z Ghali MG. Tumefactive Acute Disseminated Encephalomyelitis. Neurol India. 2020 Jan-Feb;68(1):35-41. doi: 10.4103/0028-3886.279688. PMID: 32129240.

    https://www.neurologyindia.com/article.asp?issn=0028-3886;year=2020;volume=68;issue=1;spage=35;epage=41;aulast=Z

  • Anilkumar AC, Foris LA, Tadi P. Acute Disseminated Encephalomyelitis. 2023 Jan 21. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan–. PMID: 28613684.

    https://pubmed.ncbi.nlm.nih.gov/28613684/

User Testimonials

Reviewed By:

Kenji Taylor, MD, MSc

Kenji Taylor, MD, MSc (Family Medicine, Primary Care)

Dr. Taylor is a Japanese-African American physician who grew up and was educated in the United States but spent a considerable amount of time in Japan as a college student, working professional and now father of three. After graduating from Brown, he worked in finance first before attending medical school at Penn. He then completed a fellowship with the Centers for Disease Control before going on to specialize in Family and Community Medicine at the University of California, San Francisco (UCSF) where he was also a chief resident. After a faculty position at Stanford, he moved with his family to Japan where he continues to see families on a military base outside of Tokyo, teach Japanese residents and serve remotely as a medical director for Roots Community Health Center. He also enjoys editing and writing podcast summaries for Hippo Education.

Shohei Harase, MD

Shohei Harase, MD (Neurology)

Dr. Harase spent his junior and senior high school years in Finland and the U.S. After graduating from the University of Washington (Bachelor of Science, Molecular and Cellular Biology), he worked for Apple Japan Inc. before entering the University of the Ryukyus School of Medicine. He completed his residency at Okinawa Prefectural Chubu Hospital, where he received the Best Resident Award in 2016 and 2017. In 2021, he joined the Department of Cerebrovascular Medicine at the National Cerebral and Cardiovascular Center, specializing in hyperacute stroke.

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