Acute disseminated encephalomyelitis physical examination
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sujaya Chattopadhyay, M.D.[2]
Overview
Physical examination of ADEM may reveal positive findings in different parts of the nervous system namely, the cerebral cortex, brainstem, cranial nerves and the sensory and motor tracts. Respiratory failure may prove fatal in some cases.
Physical Examination
- Pyramidal signs : Babinski’s sign, spasticity, hypertonia, hyperreflexia
- Dystonia
- Parkinsonism
- Nystagmus
- Bilateral optic neuritis (infrequent in adult ADEM[3])
- Complete transverse myelitis
Respiratory system
References
- ↑ Pohl D, Alper G, Van Haren K, Kornberg AJ, Lucchinetti CF, Tenembaum S; et al. (2016). “Acute disseminated encephalomyelitis: Updates on an inflammatory CNS syndrome”. Neurology. 87 (9 Suppl 2): S38–45. doi:10.1212/WNL.0000000000002825. PMID 27572859.
- ↑ Stüve O, Zamvil SS (1999). “Pathogenesis, diagnosis, and treatment of acute disseminated encephalomyelitis”. Curr Opin Neurol. 12 (4): 395–401. doi:10.1097/00019052-199908000-00005. PMID 10555827.
- ↑ Schwarz S, Mohr A, Knauth M, Wildemann B, Storch-Hagenlocher B (2001). “Acute disseminated encephalomyelitis: a follow-up study of 40 adult patients”. Neurology. 56 (10): 1313–8. doi:10.1212/wnl.56.10.1313. PMID 11376180.
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