An Autopsy Case of Elderly Onset Brainstem Acute Disseminated Encephalomyelitis.

ABSTRACT: Acute disseminated encephalomyelitis (ADEM), which is a disease that causes multifocal inflammatory demyelination of the central nervous system, occurs predominantly in children and young adults. We report an autopsy case of an elderly man with brainstem ADEM that progressed over a period of about 3 months. An 82-year-old man developed disturbance of consciousness, dysphagia, and ataxic gait over a period of about 3 months. He was admitted to another hospital for aspiration pneumonia and recovered but was transferred to our hospital due to prolonged disturbance of consciousness. The patient was able to follow simple commands but had a tendency to somnolence. In addition to meningeal stimulation signs, the patient had left-dominant upper and lower limb ataxia and right-dominant limb spastic

SUBMITTER: Takai Y 

PROVIDER: S-EPMC9929651 | biostudies-literature | 2023 Jan-Dec

REPOSITORIES: biostudies-literature