ADHD as Sequel to Acute Disseminated Encephalomyelitis

J Gordon Millichap1

  • 1Division of Neurology, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL; Departments of Pediatrics and Neurology, Northwestern University Feinberg School of Medicine, Chicago, IL.

Insights

This study examined the long-term outcomes for children with acute disseminated encephalomyelitis (ADEM). Researchers identified key factors that predict recovery and potential risks for these patients.

Area of Science:

  • Pediatric Neurology
  • Neuroimmunology
  • Clinical Outcomes Research

Background:

  • Acute disseminated encephalomyelitis (ADEM) is an immune-mediated inflammatory disease of the central nervous system.
  • ADEM can lead to significant neurological deficits in children.
  • Understanding long-term outcomes and risk factors is crucial for patient management.

Purpose of the Study:

  • To assess the long-term motor and neurocognitive outcomes in children treated for ADEM.
  • To identify prognostic risk factors associated with ADEM recovery.
  • To inform clinical practice and improve patient care strategies.

Main Methods:

  • Retrospective analysis of 43 children hospitalized with ADEM between 2002 and 2012.
  • Evaluation of motor function and neurocognitive status over extended follow-up periods.
  • Statistical analysis to identify predictors of outcome.

Main Results:

  • Long-term motor and neurocognitive outcomes were evaluated in pediatric ADEM patients.
  • Specific prognostic risk factors influencing recovery were identified.
  • Data from 43 children hospitalized over a decade were analyzed.

Conclusions:

  • Long-term follow-up is essential for children diagnosed with ADEM.
  • Identification of prognostic factors can guide therapeutic interventions.
  • This research contributes to understanding ADEM's impact on pediatric neurodevelopment.

Related Concept Videos

Attention-Deficit/Hyperactivity Disorder01:30

Attention-Deficit/Hyperactivity Disorder

Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterized by persistent inattention, hyperactivity, and impulsivity. It affects approximately 5-8% of children globally, with around 60-70% of cases persisting into adulthood. ADHD has significant implications for educational attainment, social interactions, and occupational success.
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings....
1.3K
Arboviral Encephalitis01:25

Arboviral Encephalitis

Arboviral encephalitis refers to brain inflammation caused by arthropod-borne viruses, particularly those transmitted through mosquito vectors. Among these, West Nile virus (WNV), a member of the Flaviviridae family, is a significant public health concern. WNV is an enveloped, positive-sense, single-stranded RNA virus. Human infection typically begins when an infected mosquito introduces the virus into the dermis during feeding. The primary transmission cycle involves birds as amplifying hosts...
3
Diphtheria01:28

Diphtheria

Diphtheria is an acute, toxin-mediated infectious disease that primarily affects the upper respiratory tract. It is caused by Corynebacterium diphtheriae, a Gram-positive, pleomorphic rod that lacks spore-forming capability and exhibits a characteristic club-shaped morphology under microscopic examination. While C. diphtheriae can asymptomatically colonize mucosal surfaces, clinical disease manifests only when the bacterial strain is lysogenized by a specific β-corynephage. This phage...
35