Acute disseminated encephalomyelitis (ADEM) is an immune-mediated disorder where small areas of inflammation and demyelination appear throughout the brain and spinal cord. It often follows viral infections like measles or vaccinations. Symptoms include fever, headache, vomiting, and neurological issues. Diagnosis involves ruling out other conditions through spinal fluid analysis, MRI scans, and ruling out a preceding infection. Treatment focuses on steroids to reduce inflammation. Most cases are monophasic, with full recovery in around half of patients. It rarely recurs or leads to multiple sclerosis.