Acute disseminated encephalomyelitis (ADEM): differential diagnosis

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Acute disseminated encephalomyelitis (ADEM): differential diagnosis. Multiple sclerosis (MS). Fully referenced neurology checklist.

Inflammatory differentials

  • Multiple sclerosis (MS)
  • Neuromyelitis optica (NMO)
  • Neurosarcoidosis

Autoimmune differentials

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Infective differentials

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Metabolic differentials

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Malignant differentials

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Other differentials

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Features suggestive of MS over ADEM

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Features suggestive of ADEM over MS

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References

  1. Pohl D, Alper G, Van Haren K, et al. Acute disseminated encephalomyelitis: updates on an inflammatory CNS syndrome. Neurology 2016; 87(9 Suppl 2):S38-S45.
  2. Duman Ö, Yürekli VA, Gencpinar P, et al. Unusual clinical cases that mimic acute disseminated encephalomyelitis. Acta Clin Croat 2015; 54:371-377.
  3. Rodríguez-Fernández C, López-Marín L, López-Pino MÁ, Gutiérrez-Solana LG, Soto-Insuga V, Conejo-Moreno D. Analysis of a series of cases with an initial diagnosis of acute disseminated encephalomyelitis over the period 2000-2010. Rev Neurol 2013; 57:297-305.
  4. Otowa Y, Yamakawa I, Ogawa N, et al. Amoebic encephalitis mimicking acute disseminated encephalomyelitis. Pract Neurol 2021; 21:433-434.
  5. Arenson NE, Heydemann PT. Late-onset Krabbe's disease mimicking acute disseminated encephalomyelitis. Pediatr Neurol 2005; 33:208-210. 
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