Abstract

Acute disseminated encephalomyelitis (ADEM) is a demyelinating inflammatory disease. Corticosteroids are its main treatment. This case report presents a manic episode after taking corticosteroids during the treatment of ADEM. A 23 years old woman,that presented two month ago an episode of 40°C fever, fatigue and headache. The radiology imaging concluded to an ADEM. After taking corticosteroid she presented a manic episode which needed decreasing in corticosteroids, and the introduction of Olanzapine and Lamotrigine with a good evolution.

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