raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:83597

Acute disseminated encephalomyelitis

Synonyms: ADEM · Acute demyelinating encephalomyelitis · Acute disseminated encephalitis

Type
Disease
Group
Disorder
Inheritance
Not applicable
Age of onset
All ages
Status
active

A demyelinating disorder of the central nervous system.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enAcute disseminated encephalomyelitisADEM · Acute demyelinating encephalomyelitis · Acute disseminated encephalitis
frEncéphalomyélite aiguë disséminéeEncéphalite aiguë disséminée · Encéphalomyélite démyélinisante aiguë
deEnzephalomyelitis, akute disseminierteADEM · Akute demyelinisierende Enzephalomyelitis · Enzephalitis, akute disseminierte
esEncefalomielitis aguda diseminadaADEM · EMAD · Encefalitis aguda diseminada · Encefalomielitis aguda desmielinizante
itEncefalomielite disseminata acutaEncefalomielite demielinizzante acuta · ADEM · Encefalite disseminata acuta
nlAcute gedissemineerde encefalomyelitisADEM · Acute demyeliniserende encefalomyelitis · Acute gedissemineerde encefalitis
ptEncefalite disseminada agudaADEM · Encefalomielite disseminada aguda
plOstre rozsiane zapalenie mózgu i rdzemoa kręgowegoADEM · Ostre rozsiane zapalenie mózgu
csAkutní diseminovaná encefalomyelitidaADEM · Akutní diseminovaná encefalitida
ukГострий розсіяний енцефаломієлітГострий розсіяний енцефаліт · ADEM
zh急性播散性脑脊髓炎急性播散性脑炎
trAkut dissemine ensefalomiyelitADEM · Akut yaygın ensefalit

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
ICD-10G04.0NTBTattributedvalidated
ICD-118A42Especificvalidated
MONDO0019383Evalidated
MeSHD004673Evalidated
UMLSC0014059Evalidated
GARD8639Evalidated
MedDRA10000709Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

3

Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (3):

Children (2):

4

Genes

0 direct

Orphanet records no gene directly on this code.

5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Annual incidence1-9 / 1 000 0000.6 / 100 000EuropeValue and classValidated[EXPERT]
Point prevalenceUnknown—WorldwideClass onlyValidatedORPHANET

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

6

HPO phenotypes

53 annotations · validated 2021-02-04
HPOTerm (as annotated by Orphanet)Diagnostic
Obligate (100%)
HP:0001298EncephalopathyDiagnostic criterion
Very frequent (99-80%)
HP:0007305CNS demyelination
HP:0007204Diffuse white matter abnormalities
HP:0010845EEG with generalized slow activity
Frequent (79-30%)
HP:0002134Abnormal basal ganglia morphology
HP:0012747Abnormal brainstem MRI signal intensity
HP:0001317Abnormal cerebellum morphology
HP:0002518Abnormal periventricular white matter morphology
HP:0007256Abnormal pyramidal sign
HP:0012696Abnormal thalamic MRI signal intensity
HP:0002143Abnormality of the spinal cord
HP:0032492Anti-myelin oligodendrocyte glycoprotein antibody positivity
HP:0001251Ataxia
HP:0000708Atypical behavior
HP:0200149CSF lymphocytic pleiocytosis
HP:0002181Cerebral edema
HP:0031696Disseminated viral infection
HP:0001945Fever
HP:0002315Headache
HP:0100786Hypersomnia
HP:0002922Increased CSF protein concentration
HP:0025373Interictal EEG abnormality
HP:0000737Irritability
HP:0001268Mental deterioration
HP:0012486Myelitis
HP:0002018Nausea
HP:0001250Seizure
Occasional (29-5%)
HP:0002167Abnormality of speech or vocalization
HP:0000718Aggressive behavior
HP:0001259Coma
HP:0001289Confusion
HP:0006824Cranial nerve paralysis
HP:0010843EEG with focal slow activity
HP:0011193EEG with focal spikes
HP:0030857Eye movement-induced pain
HP:0001269Hemiparesis
HP:0001324Muscle weakness
HP:0031179Nuchal rigidity
HP:0011151Obtundation status
HP:0100653Optic neuritis
HP:0004887Respiratory failure requiring assisted ventilation
HP:0003474Somatic sensory dysfunction
HP:0000572Visual loss
HP:0002013Vomiting
Very rare (<4-1%)
HP:0006597Diaphragmatic paralysis
HP:0012302Herpes simplex encephalitis
HP:0007103Hypointensity of cerebral white matter on MRI
HP:0004305Involuntary movements
HP:0020088Post-vaccination measles
HP:0020089Post-vaccination rubella
HP:0031693Severe Epstein Barr virus infection
HP:0031695Severe parainfluenza infection
HP:0006562Viral hepatitis

Run the differential on the 4 obligate / very frequent terms

Annotation source: 31340401[PMID]_31371120[PMID]

7

Sources for this card