Secondary Logo

Journal Logo

Institutional members access full text with Ovid®

An Uncommon Diagnosis in a Child Presenting With Double Vision and Imbalance

Sharp, Audrey MD; Santiago, Lucia MD; Dam, Aaron MD; Pereyra, Charles MD; Mihailos, Athena MD

doi: 10.1097/PEC.0000000000001890
Illustrative Cases

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:

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.