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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Acute Disseminated Encephalomyelitis

Any information on ADEM,my husband on 50mg prednisone daily for 8wks has had to attacks,right side in July then relapsed in August on the left side,will this come back when weaned off prednisone? YYYY@YYYY realise u had to pay for this site,thought someone would help from the kindness of heart not pocket
posted on Sat, 25 Oct 2014
Twitter Wed, 19 Nov 2014 Answered on
Twitter Wed, 19 Nov 2014 Last reviewed on
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Neurologist,  's  Response
I read your question and I am sorry about your husband's illness.
ADEM is a disease which affects mainly children. Adults comprise only about 3% of the cases (perhaps because some cases are difficult to separate from multiple sclerosis).
Usually ADEM responds well to corticosteroid treatment, but about 5% of patients do experience relapses when weaned of the prednisone treatment and also there is a risk of developing multiple sclerosis in the future.
However, since as I said adult cases are rare, these figures I just gave must be taken cautiously, because they are numbers taken from studies where most patients were children, I am not aware of any figures specifically for the adult ADEM patients population.
Hope things work out for the best, feel free to come back to ask further questions.
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Suggest Treatment For Acute Disseminated Encephalomyelitis

I read your question and I am sorry about your husband s illness. ADEM is a disease which affects mainly children. Adults comprise only about 3% of the cases (perhaps because some cases are difficult to separate from multiple sclerosis). Usually ADEM responds well to corticosteroid treatment, but about 5% of patients do experience relapses when weaned of the prednisone treatment and also there is a risk of developing multiple sclerosis in the future. However, since as I said adult cases are rare, these figures I just gave must be taken cautiously, because they are numbers taken from studies where most patients were children, I am not aware of any figures specifically for the adult ADEM patients population. Hope things work out for the best, feel free to come back to ask further questions.