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Case No. 478
2018-04-01~2018-04-30
출제자 : 정미선
Hit : 281
| Period | 2018-04-01~2018-04-30 |
|---|---|
| Diagnosis | Spinal cord acute disseminated encephalomyelitis (ADEM) |
| Clinical information | 11/M C.C. Both leg weakness, urinary incontinence, gait disturbance (onset : 2 days ago) History of vomiting and nausea (6 days ago) |
| Discussion | Spinal cord acute disseminated encephalomyelitis (ADEM) - brain almost always involved in patient with spinal ADEM - 30% of ADEM patients have spinal involvement - MR findings : multifocal flame-shape T2 hyperintense lesion with relatively little mass effect or vasogenic edema : dorsal white matter more voluminous : may see gray matter involvement : variable enhancement depending on stage of disease : diffusion restriction in acute lesions : brain almost always involved |
| Correct answer |
Correct Answer
Semi-Correct Answer |