CASE 61 History: A 14-year-old girl develops acute paralysis and respiratory failure. 1. What should be included in the differential diagnosis? (Choose all that apply.) a. Acute disseminated encephalomyelitis (ADEM) b. Systemic lupus erythematosus c. Spinal vascular malformation e. Astrocytoma 2. All of the following statements regarding acute transverse myelitis (ATM) are true except: a. Diagnosis is made on spinal cord biopsy. b. ATM is clinically characterized by the development of motor sensory and autonomic dysfunction. c. MRI is the imaging modality of choice in the evaluation of ATM. d. ATM can be the presenting feature of multiple sclerosis (MS). 3. Which of the following statements regarding ADEM is false? a. Antibodies to myelin oligodendrocyte glycoprotein are found in children with ADEM. b. Children are more affected than adults. c. One third of patients have relapses. d. Cerebrospinal fluid analysis typically reveals oligoclonal bands. 4. All of the following MRI findings may help differentiate ADEM from MS except:
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