id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
cord-262523-hxoyfh6o	Kaur, Gagandeep	Resolution of Acute Disseminated Encephalomyelitis Following Termination of Pregnancy	2014-02-28		.txt	text/plain	1979	142	41	title: Resolution of Acute Disseminated Encephalomyelitis Following Termination of Pregnancy A cute disseminated encephalomyelitis (ADEM) is a rare autoimmune illness characterized by inflammation of central nervous system myelin with resultant white matter damage. 13 Ms. A's neurological status began to improve after the pregnancy was terminated. 14 In contrast, other cases of fulminant demyelinating disease during pregnancy have resulted in coma. 15, 16 Another demyelinating illness, Marburg's Disease, is similarly rapid and fulminant, but less likely during pregnancy; 1 case, resistant to steroids, IVIg, and plasmapheresis, resulted in death. Alternatively, a direct immune-mediated response to the fetus may have triggered the ADEM; this is supported by the beginning of recovery after pregnancy termination in our vignette. Given ethical concerns and the rarity of this condition, it is impossible to determine whether a causal relationship exists between termination of pregnancy and resolution of treatment-resistant ADEM.	./cache/cord-262523-hxoyfh6o.txt	./txt/cord-262523-hxoyfh6o.txt