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Title of Journal: Neurol Sci

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Abbravation: Neurological Sciences

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Springer Milan

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DOI

10.1002/pssa.2210950139

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1590-3478

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Acute disseminated encephalomyelitis

Authors: Enrico Marchioni Eleonora Tavazzi Lorenzo Minoli Serena Del Bue Pasquale Ferrante Giovanni Piccolo Stefano Bastianello Sabrina Ravaglia
Publish Date: 2008/08/09
Volume: 29, Issue: 2, Pages: 286-288
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Abstract

Acute disseminated encephalomyelitis ADEM which is classified as a demyelinating disease of the central nervous system CNS is a condition that may be regarded as a bridge linking neurology and the infectious diseases According to the classic definition ADEM is a monophasic disease that can arise spontaneously in most cases however it is triggered by systemic viral infections or more rarely by vaccinations As the most recent publications on this topic have shown ADEM can present a relapsing course being described as “recurrent” if the affected districts are always the same or “multiphasic” if there is a dissemination in space and time of the lesions together with a more or less marked association with polyradiculoneuritis The clinical features and history of the disease create difficulties in differential diagnosis both with encephalomyelitis caused by infectious agents and with noninfectious inflammatory diseases other demyelinating syndromes vasculitis nonvasculitic autoimmune encephalopathies This paper describes the main features of ADEM focusing in particular particular on the factors that influence its outcome and can guide the process of differential diagnosis

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