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Updated: Aug 16, 2026

Induction and Clinical Scoring of Chronic-Relapsing Experimental Autoimmune Encephalomyelitis
Published on: July 4, 2007
[Acute Disseminated Encephalomyelitis]
1Department of Neurology and Geriatric Medicine, Ehime University Graduate School of Medicine.
Insights
Acute disseminated encephalomyelitis (ADEM) is an inflammatory brain disorder primarily affecting children, often following infections or vaccinations. Treatment with high-dose methylprednisolone generally leads to a favorable long-term outcome.
Area of Science:
- Neurology
- Immunology
- Pediatrics
Background:
- Acute disseminated encephalomyelitis (ADEM) is an immune-mediated inflammatory demyelinating disorder of the central nervous system.
- It predominantly affects the pediatric population with acute or subacute onset of multifocal neurological symptoms.
Purpose of the Study:
- To summarize the key characteristics, triggers, treatment, and prognosis of Acute disseminated encephalomyelitis (ADEM).
Main Methods:
- Review of existing literature on ADEM.
- Analysis of clinical presentation, etiology, and therapeutic responses.
Main Results:
- ADEM is typically monophasic and often associated with preceding infections or vaccinations.
- High-dose intravenous methylprednisolone is the first-line therapy.
Conclusions:
- The long-term prognosis for pediatric patients with ADEM is generally favorable with appropriate treatment.
Abstract:
Absrtract Acute disseminated encephalomyelitis (ADEM) is an immune-mediated inflammatory demyelinating disorder of the central nervous system that predominantly affects the pediatric population, and it is characterized by an acute or subacute onset of multifocal neurological symptoms. ADEM is typically a monophasic illness, and the majority of cases are associated with either a preceding infection or vaccination. First-line therapy for the disease is intravenous administration of high-dose methylprednisolone, and the long-term prognosis of ADEM is generally favorable.
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