A Case Report of Obsessive-Compulsive Disorder Following Acute Disseminated Encephalomyelitis

Author:

Muir Katherine E.1,McKenney Katherine S.2,Connolly Mary B.1,Stewart S. Evelyn2

Affiliation:

1. Division of Pediatric Neurology, Department of Pediatrics;cDepartment of Psychiatry; University of British Columbia; and

2. Division of Psychiatry, B.C. Children's Hospital, Vancouver, British Columbia, Canada

Abstract

We present a case of a boy who developed obsessive-compulsive disorder (OCD) shortly after an episode of acute disseminated encephalomyelitis (ADEM). To our knowledge, this is the first report of the development of OCD in a child who has had ADEM. This presentation is consistent with our understanding of OCD as a complex genetic disease involving the cerebral white matter tracts, and may indicate a potential pathway for the development of OCD in genetically vulnerable individuals or a shared trigger for the development of pediatric acute-onset neuropsychiatric syndrome and ADEM.

Publisher

American Academy of Pediatrics (AAP)

Subject

Pediatrics, Perinatology, and Child Health

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