Cranial computed tomography in acute disseminated encephalomyelitis.

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

Neuroradiology

journal_title

Neuroradiology

authors

Thajeb P,Chen ST

doi

10.1007/BF00342021

subject

Has Abstract

pub_date

1989-01-01 00:00:00

pages

8-12

issue

1

eissn

0028-3940

issn

1432-1920

journal_volume

31

pub_type

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