Acute disseminated encephalomyelitis as the first presentation of CNS tuberculosis: report of a case with brief review

Ibrahim Masoodi, Omar Farooq, Iqbal Ahmad, Mohammad Yaseen Bhat, Nazir Ahmad, Hamid-Ullah Wani & Javeed Ahmad Dar
Acute disseminated encephalomyelitis (ADEM) also known as post infectious encephalomyelitis is a demyelinating disease of the central nervous system (CNS) that typically presents as a monophasic disorder associated with multifocal neurological symptoms and disability. It may follow vaccination in children or infection. Viral infection like measles, rubella, influenza, Epstein bar, HIV, herpes, cytomegalusvirus (CMV) and West Nile virus have been implicated in the causation. Among bacteria, group A hemolytic streptococcus, mycoplasma pneumonia, Chlamydia, Rickettesia and...