Acute disseminated encephalomyelitis
Seizures. The child had illness 3 weeks before
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Multiple areas of abnormal signal intensity displaying bright signal in T2 and FLAIR seen at right caudate and lentiform nucleus, both thalami, periacqueductal white matter, right crus cerebri, pons and both middle cerebellar peduncles and adjacent cerebellum as well as medulla oblongata and proximal cervical cord.
Diagnosis: ADEM by clinical and MRI features. Differentials in this case includes Leigh disease, multiple sclerosis and Behcet's disease.
- Honkaniemi J, Dastidar P, KäHäRä V et-al. Delayed MR imaging changes in acute disseminated encephalomyelitis. AJNR Am J Neuroradiol. 2001;22 (6): 1117-24. AJNR Am J Neuroradiol (full text) - Pubmed citation
- Osborn A, Blaser S, Salzman K. Encyclopedia of Diagnostic Imaging. AMIRSYS. (2008) ISBN:0721629059. Read it at Google Books - Find it at Amazon