An Uncommon Diagnosis in a Child Presenting With Double Vision and ImbalanceSharp, Audrey MD; Santiago, Lucia MD; Dam, Aaron MD; Pereyra, Charles MD; Mihailos, Athena MDPediatric Emergency Care: August 2019 - Volume 35 - Issue 8 - p e150–e151 doi: 10.1097/PEC.0000000000001890 Illustrative Cases Buy Abstract Author InformationAuthors Article MetricsMetrics Acute disseminated encephalomyelitis (ADEM) is exceptionally uncommon, with approximately 3 pediatric cases reported in the United States each year. Given the uncommon nature of ADEM, most of the current data rely heavily on case reports. The overwhelming majority of cases have been reported after an acute viral infection or vaccination. Although up to 90% of cases exhibit full remission after intravenous steroids, those in which treatment is delayed can display debilitating sequelae. Here, we present a case of ADEM in a 7-year-old boy who presented with double vision and imbalance with no recent history of acute viral infections or vaccinations. From the New York Methodist Hospital, Brooklyn, New York. Disclosure: The authors declare no conflict of interest. Reprints: Aaron Dam, MD, New York Methodist Hospital, 506 6th Street, Brooklyn, NY 11215 (e-mail: email@example.com). This article was generated independent of any outside funding or resources. Online date: July 22, 2019 Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved.