A CASE REPORT ON ACUTE DISSEMINATED ENCEPHALOMYELITIS

Acute disseminated encephalomyelitis (ADEM) is a rare, inflammatory, demyelinating disease of the central nervous system. It predominantly affects children, but it can occur in adults too. We present a case of a 6-year-old child who came to the hospital with complaints of recurrent abdominal pain, vomiting, stiffening of upper limbs, and flexed posture of the left upper limb. His lab investigations revealed leukocytosis and elevated CRP. The CSF examination revealed pleocytosis and elevated protein. The MRI showed hyperintense lesions on T2 and FLAIR sequences over the cortical and subcortical white matter. Hence, a diagnosis of ADEM was made, and the condition was managed with corticosteroids, intravenous immunoglobulins, and other supportive measures.