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Fever and the first Koplik spots appeared 8 and 10 days later, respectively. This case supports the hypothesis that the immune-mediated demyelinating process may occur before the symptomatic phase of a viral infection. Therefore, children without history of infectious disorders should also have acute disseminated encephalomyelitis included in the differential considerations.<\/jats:p>","DOI":"10.1177\/0883073811413130","type":"journal-article","created":{"date-parts":[[2011,7,20]],"date-time":"2011-07-20T00:15:38Z","timestamp":1311120938000},"page":"1590-1592","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Acute Disseminated Encephalomyelitis Preceding Measles Exanthema"],"prefix":"10.1177","volume":"26","author":[{"given":"Raffaele","family":"Nardone","sequence":"first","affiliation":[{"name":"Franz Tappeiner Hospital, Merano, Italy"},{"name":"Paracelsus Medical University, Salzburg, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefan","family":"Golaszewski","sequence":"additional","affiliation":[{"name":"Paracelsus Medical University, Salzburg, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eugen","family":"Trinka","sequence":"additional","affiliation":[{"name":"Paracelsus Medical University, Salzburg, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frediano","family":"Tezzon","sequence":"additional","affiliation":[{"name":"Franz Tappeiner Hospital, Merano, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giulio","family":"Zuccoli","sequence":"additional","affiliation":[{"name":"Children\u2019s Hospital of Pittsburgh at the University of Pittsburgh Medical Center, Pennsylvania, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2011,7,19]]},"reference":[{"key":"bibr1-0883073811413130","first-page":"539","volume-title":"Handbook of Neurovirology","author":"Dhib Jalbut S","year":"1994"},{"key":"bibr2-0883073811413130","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM198401193100301"},{"key":"bibr3-0883073811413130","first-page":"731","volume":"6","author":"Harry MD","year":"1943","journal-title":"J Pediatr"},{"issue":"1","key":"bibr4-0883073811413130","first-page":"25","volume":"77","author":"Appelbaum E","year":"1949","journal-title":"Am J Dis Child"},{"issue":"20","key":"bibr5-0883073811413130","first-page":"452","volume":"11","author":"Ruhling O","year":"1956","journal-title":"Arzl Wochensch"},{"key":"bibr6-0883073811413130","doi-asserted-by":"publisher","DOI":"10.1001\/archneur.62.11.1673"},{"key":"bibr7-0883073811413130","first-page":"1267","volume-title":"Fields Virology, I","author":"Griffin DE","year":"1996","edition":"3"},{"key":"bibr8-0883073811413130","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.57.8.1493"},{"key":"bibr9-0883073811413130","doi-asserted-by":"publisher","DOI":"10.1080\/00365540601137379"}],"container-title":["Journal of Child Neurology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0883073811413130","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0883073811413130","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0883073811413130","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T20:36:03Z","timestamp":1777494963000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0883073811413130"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,7,19]]},"references-count":9,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2011,12]]}},"alternative-id":["10.1177\/0883073811413130"],"URL":"https:\/\/doi.org\/10.1177\/0883073811413130","relation":{},"ISSN":["0883-0738","1708-8283"],"issn-type":[{"value":"0883-0738","type":"print"},{"value":"1708-8283","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,7,19]]}}}