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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for Acute Disseminated Encephalomyelitis

My mother, 60 yrs old has been diagnosed with ADEM. She was in an induced coma for three days and since being stopped on all sedation has continued in her own coma for 7 days. An EEG was done yesterday and shows no midbrain activity. I have read many articles where people have recovered and rebuilt their myelin sheaths after plasmapheresis....she had plasmapheresis for five days...is this accurate?
Fri, 4 Dec 2015
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Neurologist 's  Response
ADEM is an autoimmune disease affecting the brain and spinal cord. Treatment of ADEM are high dose steroids / i.v. Ig/ plasmapheresis.
Primary role of these therapies are to remove antibodies from blood circulation. But those antibodies which already bound to brain tissue, cant be removed.
Prognosis depend on the amount of brain lesions.
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