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Acute disseminated encephalomyelitis: a case history.

Acute disseminated encephalomyelitis (ADEM) is a rarely reported demyelinating condition of the central nervous system, usually affecting children and young adults. The case of a 23-year-old woman diagnosed as suffering from ADEM is presented. Details are given of her assessment and attempted rehabilitation with particular reference to speech and language. Differentiation of ADEM from multiple sclerosis (MS) is problematic and may be clarified by examination of the pathological effects of the disease processes on speech and language. A general review of the scant literature is included and findings in this patient are compared and contrasted to them.