MyPACS.net: Radiology Teaching Files > Case 48280098

Last visited 11-14-2010 ADEM IN 4 Y/O CT AND MRI BRAIN
Contributed by: alex maclennan, Radiologist, Royal Alexandra Hospital, Paisley, United Kingdom.
Patient: 4 year old male
History: Admitted with decreased conscious level, fever and a seizure. No focal neurology. Previously well.
Images:[small]larger

Fig. 1: CT

Fig. 2: T2 FSE
Findings: CT Soft evidence of patchy white matter low attenuation MRI patchy becoming confluent areas of increased T2 signal, that show minimal mass effect, in the white matter and basal ganglia
Diagnosis: Acute disseminated encephalomyelitis
Discussion: Typical appearance. Ususally the dramatic MRI appearance is out of keeping with, an often mild, clinical presentation. Made an uneventful recovery
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Additional Details:

Case Number: 48280098Last Updated: 11-14-2010
Anatomy: Cranium and Contents   Pathology: Non-Infectious Inflammatory Disease
Modality: CT, MRAccess Level: Readable by all users

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