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Research ArticlePediatric Neuroimaging

Isolated Brain Stem Lesion in Children: Is It Acute Disseminated Encephalomyelitis or Not?

G. Alper, G. Sreedher and G. Zuccoli
American Journal of Neuroradiology January 2013, 34 (1) 217-220; DOI: https://doi.org/10.3174/ajnr.A3176
G. Alper
aFrom the Division of Child Neurology (G.A.), Department of Pediatrics
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G. Sreedher
bDepartment of Radiology (G.S., G.Z.), University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.
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G. Zuccoli
bDepartment of Radiology (G.S., G.Z.), University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.
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    Fig 1.

    Case 5. Axial FLAIR image (A) demonstrates increased T2 signal in the medulla oblongata (arrow). Twelve-month follow-up shows complete resolution of the lesion (arrow, B).

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    Fig 2.

    Case 4. Coronal T1-weighted image (A) shows hypointensity involving the medulla oblongata (arrows), and the coronal FLAIR image shows hyperintensity (arrows, B).

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    Fig 3.

    Case 3. Axial T2 FLAIR image shows increased signal in the right medulla oblongata (arrow, A), which demonstrates nonhomogeneous contrast enhancement (arrow, B). Increased signal on DWI (arrow, C) and increased signal on the ADC map consistent with vasogenic edema (black arrow, D) are also noted.

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American Journal of Neuroradiology: 34 (1)
American Journal of Neuroradiology
Vol. 34, Issue 1
1 Jan 2013
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G. Alper, G. Sreedher, G. Zuccoli
Isolated Brain Stem Lesion in Children: Is It Acute Disseminated Encephalomyelitis or Not?
American Journal of Neuroradiology Jan 2013, 34 (1) 217-220; DOI: 10.3174/ajnr.A3176

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Isolated Brain Stem Lesion in Children: Is It Acute Disseminated Encephalomyelitis or Not?
G. Alper, G. Sreedher, G. Zuccoli
American Journal of Neuroradiology Jan 2013, 34 (1) 217-220; DOI: 10.3174/ajnr.A3176
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