J Korean Child Neurol Soc.
1999 May;6(2):377-381.
A Case of Multiple Sclerosis Presenting as Acute Disseminated Encephalomyelitis
- Affiliations
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- 1Department of Pediatrics, School of Medicine, Keimyung University, Taegu, Korea.
Abstract
- Multiple sclerosis and acute disseminated encephalomyelitis are demyelinating diseases of the central nervous system those can present initially as an acute focal demyelinating syndrome. Multiple sclerosis is characterized by a multiphasic disease with stepwise or progressive deterioration in neurologic function, whereas acute disseminated encephalomyelitis is a monophasic disease with good prognosis. So the differentiation of the two diseases in a patient with single clinical episode attributable to central nervous system demyelination is of prognostic importance, but the differentiation is not easy. We report a case of multiple sclerosis with spinal cord involvement initially misdiagnosed as acute disseminated encephalomyelitis in the brain stem.
