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Acute Confusion in a Middle-Aged Woman

This is a report of a previously healthy 47-year-old lady who presented to the Accident & Emergency Department (AED) with acute confusion. She was subsequently diagnosed to be suffering from acute disseminated encephalomyelitis (ADEM). We report this rare case to alert emergency physicians to consider acute disseminated encephalomyelitis when presented with a patient with acute confusion. The diagnosis, investigation, management will be discussed.