Abstract:
:Acute disseminated encephalomyelitis (ADEM) is an uncommon inflammatory disorder of the nervous system. The appearance of ADEM on cranial CT scans has rarely been reported. The author reports seven cases in two institutions during a period of seven years. Only four of the seven patients had hypodense lesions in the white matter and six patients showed spotty, nodular, or gyral enhancement after contrast injections. The enhancement resolved with steroid therapy, leaving some persistent hypoattenuated areas even after 10 months follow-up, these findings support the dual components of the pathogenesis of ADEM. The vasculitic component may be responsive to steroids, nevertheless the demyelinating or necrotic areas may not, and the latter may be responsible for the sequelae of ADEM.
journal_name
Neuroradiologyjournal_title
Neuroradiologyauthors
Thajeb P,Chen STdoi
10.1007/BF00342021subject
Has Abstractpub_date
1989-01-01 00:00:00pages
8-12issue
1eissn
0028-3940issn
1432-1920journal_volume
31pub_type
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