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Images in Neurology
May 2014

Fulminant Acute Disseminated Encephalomyelitis Presenting in an Adult

Author Affiliations
  • 1Department of Pediatric Neurology, University of Washington, Seattle
  • 2Department of Neurology, University of Washington, Seattle
JAMA Neurol. 2014;71(5):648-649. doi:10.1001/jamaneurol.2014.34

A 55-year-old man was slowly recovering from a flulike illness but stopped responding to his family’s telephone calls. Paramedics found him confused and naked in his home. On arrival at the local hospital, he was aphasic and noncooperative.

He declined neurologically over the following week. He had 2 seizures, required intubation, and was transferred to our intensive care unit. His physical examination was notable for coma, extensor posturing, and diffuse hyperreflexia.

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