• J Neuroimaging · Jan 2002

    Case Reports

    Acute disseminated encephalomyelitis confined to brainstem.

    • K Tateishi, K Takeda, and T Mannen.
    • Department of Second Internal Medicine, Tokyo University, Bunkyo-Ku, Hongo 7-3-1, Tokyo 1138655, Japan. ktateish@rinshoken.or.jp
    • J Neuroimaging. 2002 Jan 1; 12 (1): 67-8.

    AbstractA 21-year-old man was troubled with a subacute history of brainstem involvement and a leukocyte pleocytosis in the cerebrospinal fluid. Magnetic resonance imaging (MRI) demonstrated a massive lesion with Gd enhancement in the pons. Steroid therapy, not antiviral drugs, was dramatically effective for the mass reduction and symptom improvement. Over 4 years no recurrence has been recognized, so this case was diagnosed to be an unusual case of acute disseminated encephalomyelitis (ADEM). ADEM must be included in the differential diagnosis for a brainstem mass in MRI.

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