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Special Feature
December 2000

Radiological Case of the Month

Arch Pediatr Adolesc Med. 2000;154(12):1270. doi:

Figure 1, Figure 2, and Figure 3. Demonstration of high-density lesions in the periventricular white matter, corpus callosum, internal capsule, basal ganglia, midbrain, and pons.

The diagnosis made was disseminated encephalomyelitis. His hospital stay was long and complex and included treatment with erythromycin ethylsuccinate for 10 days and acyclovir sodium for 21 days and high-dose steroids. Following treatment with acyclovir, the patient's balance, gait, and strength improved. Although his verbal level is still less than that of most 4 year olds, it has improved, and residual deficiencies are high-frequency hearing deficit in the left ear, impairment with problem solving, and short attention span.

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