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Editorial commentary
MOG-IgG serological status matters in paediatric ADEM
  1. Tatsuro Misu1,2,
  2. Douglas Kazutoshi Sato2,
  3. Ichiro Nakashima2,
  4. Kazuo Fujihara1,2
  1. 1Department of Multiple Sclerosis Therapeutics, Tohoku University Graduate School of Medicine, Sendai, Japan
  2. 2Department of Neurology, Tohoku University Graduate School of Medicine, Sendai, Japan
  1. Correspondence to Dr Tatsuro Misu, Department of Multiple Sclerosis Therapeutics, Tohoku University Graduate School of Medicine, 1-1 Seiryomachi, Aobaku, Sendai 980-8574, Japan; misu{at}med.tohoku.ac.jp

https://doi.org/10.1136/jnnp-2014-308723

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    Acute disseminated encephalomyelitis (ADEM) is an inflammatory demyelinating disease of the central nervous system (CNS) characterised by encephalopathy and other neurological manifestations. ADEM is a heterogeneous syndrome predominantly found in the paediatric population. ADEM usually takes a monophasic course, but some patients have a relapsing disease. Patients diagnosed with ADEM have multifocal CNS lesions including of the spinal cord and/or optic nerves. Therefore, ADEM should be distinguished from other diseases such as multiple sclerosis (MS) and neuromyelitis optica spectrum disorders (NMOSD). …

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    Footnotes

    • Contributors TM drafted the original manuscript. DKS, IN and KF added comments. TM, DKS and KF negotiated to finalise the last draft for submission.

    • Funding This work was supported in part by grants-in-aid for scientific research from the Ministry of Education, Culture, Sports, Science and Technology and the Ministry of Health, Labour and Welfare of Japan (No. 24591247).

    • Competing interests None.

    • Provenance and peer review Commissioned; internally peer reviewed.

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