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Living with Acute disseminated encephalomyelitis

A brief but intense attack of swelling in the brain and spinal cord, often following a viral infection.

Understanding Acute disseminated encephalomyelitis

Acute disseminated encephalomyelitis (ADEM) is a neurological condition with a short, intense attack of inflammation in the brain and spinal cord.

The inflammation may damage myelin, the layer of insulation around nerves. ADEM often follows a viral infection, or less often, the measles, mumps, or rubella (MMR) vaccine. It can happen at any time in life, and symptoms usually appear quickly.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Fever
  • Headache
  • Extreme sleepiness
  • Trouble with balance and coordination (ataxia)
  • Irritability
  • Nausea and vomiting

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include brain and nervous system specialists, eye disease specialists and seizure and epilepsy specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

  4. Connect with expert centers

    Autoimmune Association, Siegel Rare Neuroimmune Association and Autoimmune Encephalitis Alliance may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Eye disease specialists (ophthalmologists); Seizure and epilepsy specialists (epileptologist)
Expert care
Expert lists: Autoimmune Association, Siegel Rare Neuroimmune Association, Autoimmune Encephalitis Alliance
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Autoimmune Association and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
What tests confirmed that this was ADEM and not another condition?
Which specialists should follow up after this attack?
What symptoms should prompt a call or a visit?

Quick facts

Symptoms usually startany time in life

GARD says ADEM often follows a viral infection or, less often, vaccination for measles, mumps, or rubella. It doesn't list a gene cause.

Neurological

Also known as: acute disseminated encephalitis; adem; adem - acute disseminated encephalomyelitis; post-infectious encephalomyelitis

Patient organizations

Source: NIH GARD · Acute disseminated encephalomyelitisGARD ID 8639 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Acute disseminated encephalomyelitis.

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Explore research for Acute disseminated encephalomyelitis

Explore actively recruiting Acute disseminated encephalomyelitis studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Acute disseminated encephalomyelitis with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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