Presentation
Acute onset of disequilibrium and altered mental status.
Patient Data
Age: 6 years
Gender: Male
From the case:
Acute disseminated encephalomyelitis
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There are multiple indistinct regions of T2/FLAIR high signal intensity in the subcortical white matter, bilateral internal capsule, left thalamus and brainstem. The lesions are imperceptible in T1W images and do not show restricted diffusion in DWI/ADC images.
Case Discussion
The patient's mother reported a history of sore throat and rhinorrhea in the past few days. Multiple T2/FLAIR hypersignal white matter lesions with the appropriate clinical history led to the diagnosis of ADEM.
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