ACUTE DISSEMINATED ENCEPHALOMYELITIS AND MULTIPLE SCLEROSIS AS UNUSUAL BRAIN STEM LESIONS IN CHILDREN

Faten Fawzy Mohammad, Doaa M. Youssef, Ayman Ismaeel Ismaeel

Abstract


Background: Brainstem could be the seat of an isolated lesion with clinical and imaging diagnostic overlap. Patients and methods: A retrospective study on 65 cases with acute neurologic deficit were presented for MRI diagnosis. Results:We found 8 patients with isolated brainstem lesion, 6 of them were diagnosed as glioma, one case was diagnosed as ADEM and one case as MS. Follow-up MRI in ADEM case proved dramatic response to steroid with complete clinical and radiological recovery while MS case revealed a progressive course. Conclusion: ADEM and MS should be considered in the differential diagnosis of isolated brainstem lesion in children.
Key words: ADEM, MS, DWI, brainstem


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