PREVIOUS QUESTION:

 

NEXT QUESTION:

 

What is the treatment for acute disseminated encephalomyelitis (ADEM) in children?

ANSWER

Most people start with high doses of a powerful corticosteroid by IV for a few days. Your child may feel better within hours, and will continue to take a steroid (as a pill or a liquid) for several weeks, in smaller and smaller doses.

If your child can't have steroids or if they don't work, some procedures can calm the immune system. The doctor may filter your child's blood through a machine to remove the antibodies that his or her immune system is sending to attack the brain. This is called plasmapheresis. Your child could also get shots of antibodies from a healthy person, which is called intravenous immunoglobulin treatment.

SOURCES:

National Institute of Neurological Disorders and Stroke: "NINDS Acute Disseminated Encephalomyelitis Information Page."

Medscape: "Acute Disseminated Encephalomyelitis."

The Transverse Myelitis Association: "Disease Information."

National Multiple Sclerosis Society: "Acute Disseminated Encephalomyelitis (ADEM)."

Children's Healthcare of Atlanta: "Acute Disseminated Encephalomyelitis (ADEM): Patient and Family Education."

National Organization for Rare Disorders: "Acute Disseminated Encephalomyelitis."

Cleveland Clinic: "Acute Disseminated Encephalomyelitis (ADEM)."

Boston Children's Hospital: "Acute Disseminated Encephalomyelitis (ADEM) Testing and Diagnosis," "Pediatric Multiple Sclerosis And Related Disorders Program at Boston Children's Hospital," "Treatments for Acute Disseminated Encephalomyelitis (ADEM) in Children," "Acute disseminated encephalomyelitis (ADEM) symptoms & causes in children."

UpToDate: "Acute disseminated encephalomyelitis in children: Treatment and prognosis."

Reviewed by Neil Lava on May 6, 2018

SOURCES:

National Institute of Neurological Disorders and Stroke: "NINDS Acute Disseminated Encephalomyelitis Information Page."

Medscape: "Acute Disseminated Encephalomyelitis."

The Transverse Myelitis Association: "Disease Information."

National Multiple Sclerosis Society: "Acute Disseminated Encephalomyelitis (ADEM)."

Children's Healthcare of Atlanta: "Acute Disseminated Encephalomyelitis (ADEM): Patient and Family Education."

National Organization for Rare Disorders: "Acute Disseminated Encephalomyelitis."

Cleveland Clinic: "Acute Disseminated Encephalomyelitis (ADEM)."

Boston Children's Hospital: "Acute Disseminated Encephalomyelitis (ADEM) Testing and Diagnosis," "Pediatric Multiple Sclerosis And Related Disorders Program at Boston Children's Hospital," "Treatments for Acute Disseminated Encephalomyelitis (ADEM) in Children," "Acute disseminated encephalomyelitis (ADEM) symptoms & causes in children."

UpToDate: "Acute disseminated encephalomyelitis in children: Treatment and prognosis."

Reviewed by Neil Lava on May 6, 2018

NEXT QUESTION:

What are the best therapies for acute disseminated encephalomyelitis (ADEM)?

WAS THIS ANSWER HELPFUL

THIS TOOL DOES NOT PROVIDE MEDICAL ADVICE. It is intended for general informational purposes only and does not address individual circumstances. It is not a substitute for professional medical advice, diagnosis or treatment and should not be relied on to make decisions about your health. Never ignore professional medical advice in seeking treatment because of something you have read on the WebMD Site. If you think you may have a medical emergency, immediately call your doctor or dial 911.

    This tool does not provide medical advice. See additional information.