ACUTE DISSEMINATED ENCEPHALOMYELITIS

(Acute demyelinating encephalomyelitis)

ACUTE DISSEMINATED ENCEPHALOMYELITIS is usually follows either some upper respiratory infections or some exanthemata like Measles, Chicken pox or Vaccination. This is possibly an allergic response to these virus infection.

CLINICAL FEATURES

The disease appears about 1-2 weeks following these virus disease. Fever, headache, vomiting, evidences of meningeal irritation, delirium and coma may develop. The limbs are flaccid. Plantar reflex is extensor in type. Sphincteric retention is present. Cerebellar syndrome may develop in cases following Chicken pox.

PROGNOSIS

It is bad in post vaccinal cases but relatively good in cases occurring after exanthemata.

TREATMENT

Steroids are usually used. Symptomatic treatment should also be done.

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