The Aim of the Present Study is to Determine Outcome Predictors in Children Who Were Diagnosed as Acute Disseminated Encephalomyelitis (ADEM). (ADEM disease)
Outcome Predictors in Children With Acute Disseminated Encephalomyelitis at Assuit University Children Hospital
Study Overview
Status
Status
Conditions
Conditions
Detailed Description
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Contacts and Locations
Study Contact
Study Contact
- Name: Norma S Girgis
- Phone Number: 00201274511337
- Email: samygergis104@gmail.com
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- Children aged from 6 months old to 18 years.
- Presence of clinical signs of acute encephalopathy with multifocal neurological deficits.
- MRI findings suggestive of demyelinating lesions.
Exclusion Criteria:
- Pediatric patients diagnosed who were as multiple sclerosis.
- Pediatric patients with clinical signs and radiological findings suggestive of neuromyelitis optica spectrum disorder.
- Pediatric patients with infectious encephalitis.
- Pediatric patients with metabolic or genetic neurological disorders
Study Plan
How is the study designed?
Design Details
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Proportion of Patients Achieving Complete Recovery Assessed by the Modified Rankin Scale (mRS)
Time Frame: 6 months
|
Functional disability and recovery are assessed using the Modified Rankin Scale (mRS), a validated 7-point scale ranging from 0 to 6.
A score of 0 indicates no symptoms at all, 5 indicates severe disability (bedridden, requiring constant care), and 6 indicates death.
For this study, complete recovery is defined as achieving an mRS score of 0 or 1 (no significant disability).
This measure reports the percentage of participants who meet this specific recovery criteria.
|
6 months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Incidence of Disease Relapse
Time Frame: up to 12 months
|
This measure evaluates the percentage of participants who experience a new inflammatory demyelinating event.
As per the study protocol, a relapse is specifically defined as the onset of a new neurological event occurring more than 3 months after the patient's initial clinical recovery.
|
up to 12 months
|
|
Incidence of Residual Neurological Deficits
Time Frame: up to 12 months
|
This measure reports the proportion of participants who exhibit long-term cognitive or motor sequelae following the acute disease phase.
The presence or absence of these residual deficits is determined through standard clinical neurological examinations conducted during outpatient follow-up.
|
up to 12 months
|
Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
General Publications
- Pohl D, Alper G, Van Haren K, Kornberg AJ, Lucchinetti CF, Tenembaum S, Belman AL. Acute disseminated encephalomyelitis: Updates on an inflammatory CNS syndrome. Neurology. 2016 Aug 30;87(9 Suppl 2):S38-45. doi: 10.1212/WNL.0000000000002825.
- Wang CX. Assessment and Management of Acute Disseminated Encephalomyelitis (ADEM) in the Pediatric Patient. Paediatr Drugs. 2021 May;23(3):213-221. doi: 10.1007/s40272-021-00441-7. Epub 2021 Apr 8.
- Sechi E, Krecke KN, Messina SA, Buciuc M, Pittock SJ, Chen JJ, Weinshenker BG, Lopez-Chiriboga AS, Lucchinetti CF, Zalewski NL, Tillema JM, Kunchok A, Monaco S, Morris PP, Fryer JP, Nguyen A, Greenwood T, Syc-Mazurek SB, Keegan BM, Flanagan EP. Comparison of MRI Lesion Evolution in Different Central Nervous System Demyelinating Disorders. Neurology. 2021 Sep 14;97(11):e1097-e1109. doi: 10.1212/WNL.0000000000012467. Epub 2021 Jul 14.
- Ferenc K, Semik P, Paprocka J. Acute Disseminated Encephalomyelitis (ADEM): Current View into Etiopathogenesis and Clinical Features. Brain Sci. 2026 Feb 9;16(2):201. doi: 10.3390/brainsci16020201.
Study record dates
Study Major Dates
Study Start (Estimated)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Neuroinflammatory Diseases
- Post-Infectious Disorders
- Central Nervous System Diseases
- Nervous System Diseases
- Pathologic Processes
- Chronic Disease
- Disease Attributes
- Autoimmune Diseases
- Immune System Diseases
- Infections
- Demyelinating Autoimmune Diseases, CNS
- Autoimmune Diseases of the Nervous System
- Leukoencephalopathies
- Central Nervous System Infections
- Pathological Conditions, Signs and Symptoms
- Brain Diseases
- Demyelinating Diseases
- Encephalomyelitis
- Encephalomyelitis, Acute Disseminated
Other Study ID Numbers
Other Study ID Numbers
- ADEM disease
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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