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November 16, 2004Current Opinion in Pediatrics

Toward the definition of acute disseminated encephalitis of childhood

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Key result

Standardized prospective studies remain essential to define ADEM and distinguish it from childhood MS.

Population

Children and adolescents with acute disseminated encephalomyelitis (ADEM) or multiple sclerosis

Design

Review

Authors

GAGülay AlperNSNina F. Schor

Discussion

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Overview

Diagnostic uncertainty risks misdirected therapy in children; leaves open whether standardized prospective multicenter studies will refine ADEM-MS distinctions.

Structured PICO

P
Population
Children and adolescents with acute disseminated encephalomyelitis (ADEM) or multiple sclerosis
O
Outcome
Definition of ADEM and its distinction from childhood multiple sclerosis

Standardization of prospective, multicenter studies is required to define ADEM and distinguish it from childhood multiple sclerosis to guide appropriate preventive therapies.

Limitations

  • All studies to date aimed at differential characterization of ADEM and childhood multiple sclerosis have been retrospective case reviews.
  • All studies to date aimed at differential characterization of ADEM and childhood multiple sclerosis have been retrospective case reviews
  • Each study has examined a different array of characteristics of a differently defined patient population

Cite This Study

Alper et al. (2004) conducted a review in Acute disseminated encephalomyelitis (ADEM). Standardization of prospective, multicenter study design is critically needed to define acute disseminated encephalomyelitis and distinguish it from childhood multiple sclerosis.

synapsesocial.com/papers/6aa67e8c5becb0bc28eed920https://doi.org/10.1097/01.mop.0000136120.83277.72
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Acute disseminated encephalomyelitis2007 · 632 citations
  2. 2Acute disseminated encephalomyelitis: an acute hit against the brain2007 · 137 citations
  3. 3The clinical course of acute disseminated encephalomyelitis2006 · 57 citations
  4. 4Diagnosis and therapy of acute disseminated encephalomyelitis and its variants2015 · 61 citations
  5. 5Acute Disseminated Encephalomyelitis in Childhood: Epidemiologic, Clinical and Laboratory Features2004 · 415 citations