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 CASE REPORT
Year : 2011  |  Volume : 6  |  Issue : 1  |  Page : 48-51

Acute hemorrhagic encephalomyelitis in childhood: Case report and literature review


1 Department of Neurology, Children's Institute, Sao Paulo University, Sao Paulo, Brazil
2 Child Neurology Unit, Children's Institute, Sao Paulo University, Sao Paulo, Brazil
3 Department of Neurology and Child Neurology Unit, Children's Institute, Sao Paulo University, Sao Paulo, Brazil

Correspondence Address:
Felippe Borlot
Dr. Eneas Carvalho de Aguiar Avenue, 647, Sao Paulo - SP, ZIP 0543-000
Brazil
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1817-1745.84408

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Acute disseminated encephalomyelitis (ADEM) is an inflammatory immune-mediated disorder which is more common in pediatric patients. The clinical setting is characterized by a rapid onset of encephalopathy and multifocal neurological features. Acute hemorrhagic encephalomyelitis (AHEM) is considered a rare form of ADEM. This report shows a 2-year-old patient who presented with the classical features of ADEM and after 8 weeks developed severe neurological worsening. The second magnetic resonance image (MRI) showed hemorrhagic lesions. Differences in prognosis between ADEM and AHEM justify the investigation of AHEM whenever a patient has neurological recrudescence in a known patient of ADEM.






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