Table 4

Summary of all cases with a diagnosis of acute disseminated Encephalomyelitis at King Abdulaziz Medical City from January 1996 to 31st Decemeber 2016.

SNo	A/G	Pre-inf	Clinical presentation	MRI brain	treatment	Outcome
1	17y/M	URTI	SE, rt HP, ALC	Extensive sWM, dWM, CC body	MPD, PE	Mild Cognitive dysfunction and epilepsy
2	5 y/M	URTI, Fever	GTCS	Bilateral diffuse frontal and parietal sWM & dWM	MPD	Mild Cognitive dysfunction
3	7y/F	URTI, Fever, vomiting	Ataxia, ALC, rt CNVI&CNVII palsy, dysartheria	C spine, Thalamus Medulla, Pons, Brachium Pontis, cerebellum		normal
4	6.5 y/F	URTI, Fever, headache	Mild quadreparesis	Lt more than rt frontal and parietal sWM & dWM.	MPD	normal
5	11y/F	Fever, headache	Parapresis & sensory level at T3	Bilateral scattered multiple supratentorial sWM & dWM & T-L spine.	MPD, IVIG,	normal
6	2y/F	URTI	Mild quadriparesis	Bilateral scattered multiple supratentorial sWM T spine.	MPD	normal
7	17y/F	URTI, headache	Ataxia, nystagmus, dysarthria and mild quadriparesis	Bilateral scattered multiple supratentorial sWM & dWM, Thalamus, midbrain, pons	MPD	normal
8	6y/M	URTI	Paraparesis, sphincter dysfunction	Bilateral scattered multiple supratentorial sWM & dWM & Thalamus, C-T spine	MPD	normal
9	17y/F	URTI, Fever, headache	Mild quadreparesis ataxia, dysartheria bilateral CNVII palsy, nystagmus	Bilateral scattered multiple supratentorial sWM & dWM & C spine, pons, medulla, cerebellum	MPD	dysarthria, ataxia
10	4.5y/F	Fever, Lethargy	Paraparesis, Seizure	Bilateral scattered multiple supratentorial sWM & dWM, pons, medulla	MPD	normal
11	11y/M	Diarrhea	Lt HP	Bilateral scattered multiple supratentorial sWM, midbrain, cerebellum, thalamus	MPD	normal
12	15y/F		Ataxia, dysarthria, nystagmus	Lt more than rt supratentorial dWM, lt thalamus, cerebellum	MPD	normal
13	17y/F	Fever, headache, vomiting	Ataxia, dysarthria, nystagmus	Bilateral scattered multiple supratentorial dWM, midbrain, pons, cerebellum		Lost Follow up
14	17y/M	URTI, Fever, vomiting	Ataxia, dysarthria, nystagmus, mild parapresis	Bilateral diffuse multiple supratentorial sWM & dWM, Thalamus	MPD	normal
15	3y/F	Pneumonia	ALC, parapresis, Myoclonic seizures	Bilateral diffuse multiple supratentorial sWM & dWM, thalamus, midbrain and pons.	MPD	Unable to stand
16	4.5y/F	Fever and vomiting	Lt HP, ataxia	Bilateral diffuse multiple supratentorial sWM & dWM, thalamus, pons, cerebellum	MPD	normal
17	2y/F	Fever, Irritability	Spastic quadreparesis, ALC, seziures.	Bilateral occipital and parietal sWM & dWM, Thalamus	MPD	Lost Follow up
18	15y/M	URTI	Ataxia, dysarthria	Bilateral scattered multiple supratentorial dWM, cerebellum	MPD	normal
19	12y/F	URTI, Fever	Ataxia, GTCS	Bilateral diffuse frontal and parietal sWM & dWM		normal
20	6m/M	URTI, Fever	GTCS	Bilateral diffuse frontal and parietal sWM & dWM	MPD	Lost Follow up

SE - Status epilepsy, RT - Right, LT - Left, HP - Hemiparesis, ALC - Altered level of consciousness, sWM - Subcortical white matter, dWM - Deep white matter, CC - Corpus collosum, MPD - Prednisolone, PE - Plasma Exchange, GTCS - Generalized Tonic-clonic seizure, C - Cervical, T- L - Thoracic- Lumbar, y -year, F- female, M - Male, URTI- Upper respiratory tract infections