Acute disseminated encephalomyelitis is considered a monophasic, inflammato
ry demyelinating disorder of the central nervous system. A temporal relatio
nship usually exists between the onset of neurologic symptoms and an infect
ion or a vaccination. A viral exanthem facilitates the diagnosis, Some hete
rogeneity exists with regard to etiology and clinical course of this diseas
e, Immunosuppression is considered the treatment of choice. Curr Opin Neuto
l 12:395-401. (C) 1999 Lippincott Williams & Wilkins.