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 CASE REPORT
Year : 2012  |  Volume : 7  |  Issue : 2  |  Page : 133-135

Rabies encephalomyelitis vs. ADEM: Usefulness of MR imaging in differential diagnosis


1 Department of Pediatrics, Government Medical College, Thiruvananthapuram, Kerala, India
2 Department of Pediatric Neurology, Government Medical College, Thiruvananthapuram, Kerala, India

Correspondence Address:
Devadathan Kalpana
Department of Pediatric Neurology, Government Medical College, Thiruvananthapuram, Kerala
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1817-1745.102578

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We report a case of rabies encephalomyelitis in a 12-year-old boy who had received anti-rabies vaccine 6 weeks after being bitten by a puppy. The MR (magnetic resonance) imaging helped to differentiate rabies from acute disseminated encephalomyelitis (ADEM). ADEM involves the white matter predominantly, whereas rabies has a predilection for grey matter, that too of midline regions. This report emphasizes the usefulness of MRI in differentiating rabies and ADEM when encephalomyelitis occurs in a vaccinated child.






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