Acute disseminated encephalomyelitis (ADEM) is a rarely reported demye
linating condition of the central nervous system, usually affecting ch
ildren 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 l
anguage. Differentiation of ADEM from multiple sclerosis (MS) is probl
ematic 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 comp
ared and contrasted to them.