Other acute disseminated demyelination
Chapter 6:Diseases of the nervous system
ICD-10 G36 is a billable code used to indicate a diagnosis of other acute disseminated demyelination.
Other acute disseminated demyelination (G36) refers to a group of neurological disorders characterized by the rapid onset of demyelination in the central nervous system (CNS). This condition can manifest as a result of various infectious, autoimmune, or inflammatory processes. It is often associated with symptoms such as visual disturbances, motor weakness, sensory changes, and cognitive dysfunction. Acute disseminated demyelination is frequently seen in pediatric populations following viral infections, such as varicella or Epstein-Barr virus. Unlike multiple sclerosis (MS), which is a chronic demyelinating disease, G36 represents an acute episode that may resolve completely or lead to residual neurological deficits. The pathophysiology involves an immune-mediated attack on myelin sheaths, leading to impaired nerve conduction. Diagnosis typically requires a combination of clinical evaluation, MRI findings, and cerebrospinal fluid analysis. Treatment may include corticosteroids and other immunomodulatory therapies aimed at reducing inflammation and promoting recovery.
Detailed neurological examination findings, MRI results, and treatment plans.
Patients presenting with acute neurological deficits following viral infections.
Ensure clear documentation of symptom onset and progression to support the acute diagnosis.
History of recent infections, developmental milestones, and neurological assessments.
Children presenting with sudden onset of neurological symptoms post-infection.
Consider age-related factors in symptom presentation and recovery.
Used for follow-up visits after acute demyelination treatment.
Document history of present illness, examination findings, and treatment response.
Neurologists should ensure detailed neurological assessments are included.
G36 refers to acute disseminated demyelination, which is typically a transient condition, while G35 denotes multiple sclerosis, a chronic demyelinating disease.