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An Uncommon Diagnosis in a Child Presenting With Double Vision and Imbalance
Audrey Sharp1, Lucia Santiago, Aaron Dam
1From the New York Methodist Hospital, Brooklyn, New York.
Abstract:
Acute disseminated encephalomyelitis (ADEM) is exceptionally uncommon, with approximately 3 pediatric cases reported in the United States each year. Given the uncommon nature of ADEM, most of the current data rely heavily on case reports. The overwhelming majority of cases have been reported after an acute viral infection or vaccination. Although up to 90% of cases exhibit full remission after intravenous steroids, those in which treatment is delayed can display debilitating sequelae. Here, we present a case of ADEM in a 7-year-old boy who presented with double vision and imbalance with no recent history of acute viral infections or vaccinations.
Insights
Acute disseminated encephalomyelitis (ADEM) is a rare pediatric condition. This case highlights ADEM in a child without typical triggers, emphasizing the need for prompt diagnosis and treatment to prevent lasting neurological damage.
Area of Science:
- Neurology
- Pediatrics
- Immunology
Background:
- Acute disseminated encephalomyelitis (ADEM) is a rare autoimmune neurological disorder.
- Most pediatric ADEM cases follow viral infections or vaccinations.
- Delayed treatment can lead to severe, permanent neurological deficits.
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