Abstract
Introduction: Acute disseminated encephalomielitis (ADEM) is an autoinmune disorder of the central nervous system, which causes a broad inflammatory process in the brain and spinal cord. It is characterized by the association of acute encephalopathy and multiple neurological deficits, 1 or 2 weeks after an infectious process that will not always be evident or after an immunization. Case report: A 52- year- old male patient presented with intense headache associated with disorder of consciousness, motor deficit, aphasia and active infection with herpes simplex virus type 1. Magnetic resonance imaging of the simple skull is performed showing hyperintense images of a demyelinating nature. Conclusion: The diagnosis of a case of ADEM with an active acute infection truly constitutes an exceptional event and of great interest, considering that the etiology of this entity is 75 percent postinfectious. Identifying in time whether they are related pathologies or not determines the choice of treatment and evolution of the patient.
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