# Subtle Infantile Hemiparesis as a Presentation of Acute Disseminated Encephalomyelitis: The Value of Caregiver Video Documentation

**Authors:** Hideki Tanoue, Sayaka Ishihara, Mari Asakura, Masahiro Noda, Kunihiro Oba, Masashi Ogasawara

PMC · DOI: 10.1002/ccr3.70900 · Clinical Case Reports · 2025-09-21

## TL;DR

A baby's subtle weakness in one side of the body can be an early sign of a rare brain disease, and videos from caregivers can help doctors diagnose it.

## Contribution

The paper highlights the diagnostic value of caregiver-recorded videos in identifying subtle infantile hemiparesis as a sign of ADEM.

## Key findings

- Subtle hemiparesis can be an early sign of acute disseminated encephalomyelitis in infants.
- Caregiver-recorded videos can capture functional changes missed during routine clinical exams.

## Abstract

Subtle neurological symptoms, such as mild hemiparesis, may represent the earliest signs of acute disseminated encephalomyelitis (ADEM) in infants. This case illustrates how caregiver‐recorded videos can provide crucial diagnostic clues by capturing functional changes that might otherwise remain unnoticed during routine clinical observations.

## Linked entities

- **Diseases:** acute disseminated encephalomyelitis (MONDO:0019383)

## Full-text entities

- **Diseases:** Hemiparesis (MESH:D010291), ADEM (MESH:D004673)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

2 figures with captions in the complete paper: https://tomesphere.com/paper/PMC13020448/full.md

## References

1 references — full list in the complete paper: https://tomesphere.com/paper/PMC13020448/full.md

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Source: https://tomesphere.com/paper/PMC13020448