Some conditions are rare. Some conditions are difficult to understand. Some conditions are difficult to treat. ADEM is all 3.
A sometimes devastating condition affecting completely normal children, ADEM is an upsetting and challenging condition. Treatment this aggressively is important.
Mainstays of treatment are steroids, IVIG, and plasma exchange. But: which of these works? How much evidence is there for any/all of these? Are there other treatments worth looking at? Or is time be best medicine?
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