[Acute disseminated encephalomyelitis]. 1997

Y Hirano
Department of Pediatrics, Tokyo Women's Medical College.

Acute disseminated encephalomyelitis (ADEM) occurs late in the course of viral infection, mainly exanthematous diseases such as measles, chicken pox, and rubella. Postinfectious encephalomyelitis is characterized by immune-mediated demyelination, which is found in experimental autoimmune encephalomyelitis (EAE), and virus cannot be isolated from the central nervous system. The investigations using animal models infected with. Theiler's virus or measles virus would be very useful for clarifying the mechanisms of demyelination induced by viral infection. Although the incidence of postvaccinal encephalomyelitis has fallen markedly due to development of vaccines, the neurological complications following immunization are still reported. The vaccines prepared from viruses other than live-attenuated viruses and whole-killed organisms have never been proved to induce ADEM.

UI MeSH Term Description Entries
D004673 Encephalomyelitis, Acute Disseminated An acute or subacute inflammatory process of the CENTRAL NERVOUS SYSTEM characterized histologically by multiple foci of perivascular demyelination. Symptom onset usually occurs several days after an acute viral infection or immunization, but it may coincide with the onset of infection or rarely no antecedent event can be identified. Clinical manifestations include CONFUSION, somnolence, FEVER, nuchal rigidity, and involuntary movements. The illness may progress to COMA and eventually be fatal. (Adams et al., Principles of Neurology, 6th ed, p921) Encephalitis, Post-Vaccinal,Post-Vaccinal Encephalomyelitis,Postinfectious Encephalomyelitis,Vaccination Encephalitis,Acute Disseminated Encephalomyelitis,Disseminated Encephalomyelitis, Acute,Encephalitis, Postvaccinal,Encephalitis, Vaccination,Encephalomyelitis, Postexanthem,Encephalomyelitis, Postinfectious,Post-Vaccinal Encephalitis,Postexanthem Encephalomyelitis,Postvaccinal Encephalitis,Acute Disseminated Encephalomyelitides,Encephalitis, Post Vaccinal,Encephalomyelitis, Post-Vaccinal,Post Vaccinal Encephalitis,Post Vaccinal Encephalomyelitis,Post-Vaccinal Encephalitides,Post-Vaccinal Encephalomyelitides
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000818 Animals Unicellular or multicellular, heterotrophic organisms, that have sensation and the power of voluntary movement. Under the older five kingdom paradigm, Animalia was one of the kingdoms. Under the modern three domain model, Animalia represents one of the many groups in the domain EUKARYOTA. Animal,Metazoa,Animalia
D014777 Virus Diseases A general term for diseases caused by viruses. Viral Diseases,Viral Infections,Virus Infections,Disease, Viral,Disease, Virus,Diseases, Viral,Diseases, Virus,Infection, Viral,Infection, Virus,Infections, Viral,Infections, Virus,Viral Disease,Viral Infection,Virus Disease,Virus Infection

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