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.
Otten CE, Creutzfeldt CJ. Fulminant Acute Disseminated Encephalomyelitis Presenting in an Adult. JAMA Neurol. 2014;71(5):648-649. doi:10.1001/jamaneurol.2014.34