Rapid Progressive Fatal Acute Hemorrhagic Encephalomyelitis

Acute hemorrhagic encephalomyelitis (AHEM) is the most severe form of acute disseminated (ADEM). Patients with AHEM usually have unfavorable outcomes high mortality rate. We reported a middle-aged male, who was diagnosed and died 35 days after admission even under intensive immune therapy. Clinical courses were recorded serial MR images demonstrated to illustrate rapidly changes in brain parenchyma. By highlighting these aspects, we hope provide valuable insights for future studies potential advancements management AHEM.