Following discharge, what further outpatient care is needed for acute disseminated encephalomyelitis (ADEM)?

Updated: Nov 08, 2018
  • Author: J Nicholas Brenton, MD; Chief Editor: Tarakad S Ramachandran, MBBS, MBA, MPH, FAAN, FACP, FAHA, FRCP, FRCPC, FRS, LRCP, MRCP, MRCS  more...
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  • Outpatient care indications depend on the course of illness and the extent of recovery at the time of discharge. It may include the involvement of physical, occupational, or speech therapists. Some patients require follow-up with urologists or gastroenterologists because of persistent bladder or bowel problems.

  • Patients who are placed on tapering doses of oral corticosteroids require follow-up to ascertain the rate and extent of improvement. Urgent return or consultation may be warranted by patients who display relapse during taper of corticosteroids. In such instances, the relapse is usually controlled by restoration of a higher medication dosage with slower ensuing taper. Some difficult cases require slow tapers.

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