Rewrite the symptoms of these four disorders into paragraph form. Exclude mentions of resources. Try to restructure it so the lists, etc aren't in exactly the same order but it includes everything.

Acute disseminated encephalomyelitis (ADEM)
Overview:
Widespread attack of inflammation in the central nervous system thought to be provoked by an infectious cause or occurring post vaccination
Features:
•	Multifocal areas of diffuse inflammation most often seen in the subcortical cerebellum, brainstem, and spinal cord
•	Usually monophasic but can be recurrent
Symptoms:
•	Encephalopathy: confusion, irritability, AMS (somnolence to coma)
•	Multifocal deficits, fever, meningismus (headache, photophobia, stiff neck)
Imaging:
•	Large (greater than 1 to 2 cm) multifocal, hyperintense, bilateral, asymmetric lesions in the supra-/infratentorial white matter on T2-weighted or MRI FLAIR images
•	Can be seen in gray matter, especially basal ganglia and thalamus
Resources:
•	National Institutes of Health
Accute Optic Neuritis (AON)
Overview:
Optic neuritis is retrobulbar inflammation of the optic nerve that can occur spontaneously or be associated with other neurologic conditions such as MS, ADEM, NMO or lupus.
Features:
•	Usually unilateral
•	Dimished visual acuity, red color desaturation, afferent pupillary defect, and visual field deficits
Symptoms:
•	Headache and painful eye movements
•	Central visual blurring
•	Dim vision
•	Complete loss of vision
Imaging:
•	MRI often shows gadolinium enhancement of the optic nerve
Resources:
•	American Academy of Ophthalmology
Transverse Myelitis
Features:
•	Spinal cord dysfunction typically owing to inflammatory lesion
•	Usually presents as a CIS, but may be associated with MS or ADEM
Symptoms:
•	Unilateral or bilateral motor or sensory deficits such as Paresthesias, weakness, sphincter dysfunction; can occasionally be more severe, including paraplegia and urinary retention
Imaging:
•	Gadolinium-enhancing lesions on MRI spreading over 1 or more segments
Resource:
•	National MS Society
•	Christopher Reeves Foundation
Neuromyelitis Optica (NMO)
Overview:
Neuromyelitis Optica and neuromyelitis optical spectrum disorder (NMOSD) are inflammatory conditions of the central nervous system primarily targeting the optic nerve and spinal cord.
Features:
•	Optic neuritis
•	Acute myelitis
•	Postrema clinical syndrome
•	Acute brainstem syndrome
•	Symptomatic narcolepsy or acute diencephalic clinical syndrome with NMOSD-typical diencephalic MRI lesions
•	Symptomatic cerebral syndrome with NMOSD-typical brain lesions
•	More common in non-Caucasians, especially Asians
•	Important to rule out sarcoid, SLE, Sjogrens or other vasculitis
Symptoms:
•	Optic neuritis (see above)
•	Transverse myelitis (see above)
•	Intractable hiccups or nausea and vomiting

system
in chaar vikaron ke lakshanon ko paragraph rup main phir se likhen.sansadhano ke ullekh ko chhod den.ise punargathan karne kii koshish karen taaki suchiyaan, aadi bilkul ek hi kram main na hon, lekin isamen sab kuch shaamil he.

teevr prasar insefeleolitis (ADEM) (ADEM)
avlokan:
kendriya tantrika tantra main sujan ke vyapak hamale ko ek sankramak kaaran yaa hone vaale post tikaakaran dwaara uksaaya janaa mana jaataa he
visheshtaayen:
• failaana sujan ke multifocal kshetra sabase adhik baar sabkortical ceribalam, brinstem or ridh kii haddi main dekhe jate hai
• aamtaur par monophasic lekin aavartak ho saktaa he
lakshan:
• insefallopathy: bhram, chidchidapan, eemes (coma ke liye somolence)
• multifocal ghate, bukhaar, meningism (sirdard, photophobia, kathor gardan)
imaging:
• bade (1 se 2 semi se adhik) multifocal, hyperintens, dwipaksheeya, asamamit ghaavon main tii 2-vated yaa emarai flair image par supra-/infratantorial white matter main
• grey matter, vishesh rup se basal gangliya or thilemus main dekha ja saktaa he
sansaadhan:
•	neshnal institute of health
sankochik neuritis (aoen)
avlokan:
optic neuritis optic tantrika kaa retrobulbaar sujan he jo anayas ho saktaa he yaa emes, adiem, enemo yaa lupas jaisi anya neurologic sthitiyon se judaa ho saktaa he.
visheshtaayen:
• aamtaur par ekatarfa
• vijual agute, red color disatreshan, accent pupilri defect or vijual field dephisits
lakshan:
• sirdard or dardanaak ankhon kii harakatein
• kendriya drishy dhundhala
• mand drushti
• drushti kaa puraa nuksaan
imaging:
• emarai aksar optic tantrika ke gadolinium vruddhi ko darshata he
sansaadhan:
• american academy of optholmology
anuprastha myelitis
visheshtaayen:
• ridh kii haddi kii shithilataa aamtaur par bhadakaau ghaav ke kaaran hoti he
• aamtaur par ek siaies ke rup main prastut karata he, lekin emes yaa adiem ke saath judaa ho saktaa he
lakshan:
• ekatarfa yaa dwipaksheeya motor yaa samvedi ghate jaise ki perestasius, kamajori, sphincter disfunction;kabhi -kabhi adhik gambhir ho saktaa he, jisamen parapelia or mutr pratidhaaran shaamil he
imaging:
• emarai par gadolinium-badhaane vaale ghaav 1 yaa adhik segment se adhik failte hai
sansaadhan:
• rashtriya emes socity
• christopher reeves foundation
neuromilitis optica (enemo)
avlokan:
neuromilitis optica or neuromilitis optical spectrum vikaar (NMOSD) kendriya tantrika tantra kii bhadakaau sthiti hai jo mukhya rup se optic tantrika or ridh kii haddi ko lakshith karti hai.
visheshtaayen:
•	optic niuritis
• teevr mylitis
• postraima naidanik syndrome
• teevr brinstem syndrome
• NMOSD-Typical Diencephalic MRI ghaavon ke saath rogasuchak Narcolepsy yaa teevr diencephalic naidanik syndrome
• NMOSD-vishisht mastishk ghaavon ke saath rogasuchak cerebral syndrome
• gaiyr-cocosiyon main adhik aam, vishesh rup se asian
• sarcoid, esalai, esazogrence yaa anya vasculitis ko baahar karne ke liye mahatvapurn he
lakshan:
• optic neuritis (upar dekhen)
• anuprastha mylitis (upar dekhen)
• intractable hitchkee yaa matlee or ulti
user
teevr prasar insephalomilitis (ADEM) kendriya tantrika tantra (CNS) main sujan kaa ek vyapak hamalaa he, jise mana jaataa he ki yah sankraman ke kaaran hota he yaa tikaakaran ke baad hota he.yah aamtaur par ek episod main hota he lekin phir se ho saktaa he.brinstem, ridh kii haddi or sabkortical ceribalam sahit kai kshetron main failaana sujan he.ADEM ke lakshanon main aam taur par insefallopathy (bhram, chidchidapan, or aakraamak multiple scalerosis sahit coma ke liye somolans ke parinamswaroop) ke saath -saath multifocal ghate, bukhaar or meningism (sirdard, photophobia or kathor gardan) shaamil hai.ADEM kaa pataa lagane ke imaging main bade (ek se do centimetre se adhik kaa arth), multifocal, dwipaksheeya, asamamit or hyperintens ghaav shaamil honge.in ghaavon ko aamtaur par emarai flair yaa tii 2-vated image par supra/infratantorial white matter main dekha jaataa he, lekin yah grey matter, vishesh rup se thilemus or basal gangliya main bhi dekha ja saktaa he.

teevr optic neuritis (aoen) optic tantrika kaa ek retrobulbaar sujan he jo teevr aadhaar par hota he.yah MS, ADEM, NMO, yaa Lupus sahit vibhinn neurologic sthitiyon se judaa ho saktaa he;yah anayas bhi ho saktaa he.yah aamtaur par ekatarfa hota he or kam drishy tikshnata, laal rang kii desaturation, drishy kshetra kii kami, or abhivahi pupilri dosha ke saath prastut karata he.lakshanon main aamtaur par sirdard, dardanaak ankhon kii harakatein, mand drushti or kendriya drishy dhundhala hota he, or drushti kaa purna nuksaan ho saktaa he.imaging ke bare main, ek emarai aksar optic tantrika ke gadolinium vruddhi ko dikhayega.

anuprastha mylitis ek or sthiti he jo aam taur par siaies ke rup main prastut karti he lekin emes yaa adiem ke saath judaa ho saktaa he.isamen ridh kii haddi kii shithilataa niyamit rup se bhadakaau ghaav (es) ke kaaran hoti he.yah ekatarfa yaa dwipaksheeya samvedi or/yaa motor kii kami jaise kamajori, sphincter disfunction or perestasiyas ko utpann karata he.yah kabhi -kabhi adhik gambhir rup se pesh kar saktaa he, jisamen mutr pratidhaaran or paraplagia shaamil hai.jab imaged, to yah MRI par ek yaa ek se adhik khandon main failane vaale gadolinium-badhaane vaale ghaavon ko dikhayega.

neuromilitis optica (enemo) or sambandhit neuromilitis optical spectrum vikaar (enemoesdy) mukhya rup se kendriya tantrika tantra main ridh kii haddi or optic tantrika ko shaamil karte hue bhadakaau sthiti he.visheshtaon main postraima clinical syndrome, teevr mylitis, optic neuritis, teevr brinstem syndrome, mastishk ke NMOSD-Typical ghaavon ke saath rogasuchak cerebral syndrome, or NMOSD-TYPICAL DIENICALIC MRI LESIONS ke saath acute dicephelic clinical syndrome yaa rogasuchak narcolepsy shaamil hai.NMO gaiyr-cocasian, vishesh rup se asian logon main adhik baar hota he.NMO or NMOSD par vichaar karte samay, Sjogrens, SLE, SARCOID, yaa anya vasculitis ko baahar karnaa mahatvapurn he.soochibaddh pichhali visheshtaon ke alaava, lakshanon main antarmukhi hitchkee, matlee or/yaa ulti bhi shaamil ho sakati he.
assistant
<|system|>
</s>
<|user|>
in chaar vikaron ke lakshanon ko paragraph rup main phir se likhen.sansadhano ke ullekh ko chhod den.ise punargathan karne kii koshish karen taaki suchiyaan, aadi bilkul ek hi kram main na hon, lekin isamen sab kuch shaamil he.

teevr prasar insefeleolitis (ADEM) (ADEM)
avlokan:
kendriya tantrika tantra main sujan ke vyapak hamale ko ek sankramak kaaran yaa hone vaale post tikaakaran dwaara uksaaya janaa mana jaataa he
visheshtaayen:
• failaana sujan ke multifocal kshetra sabase adhik baar sabkortical ceribalam, brinstem or ridh kii haddi main dekhe jate hai
• aamtaur par monophasic lekin aavartak ho saktaa he
lakshan:
• insefallopathy: bhram, chidchidapan, eemes (coma ke liye somolence)
• multifocal ghate, bukhaar, meningism (sirdard, photophobia, kathor gardan)
imaging:
• bade (1 se 2 semi se adhik) multifocal, hyperintens, dwipaksheeya, asamamit ghaavon main tii 2-vated yaa emarai flair image par supra-/infratantorial white matter main
• grey matter, vishesh rup se basal gangliya or thilemus main dekha ja saktaa he
sansaadhan:
•	neshnal institute of health
sankochik neuritis (aoen)
avlokan:
optic neuritis optic tantrika kaa retrobulbaar sujan he jo anayas ho saktaa he yaa emes, adiem, enemo yaa lupas jaisi anya neurologic sthitiyon se judaa ho saktaa he.
visheshtaayen:
• aamtaur par ekatarfa
• vijual agute, red color disatreshan, accent pupilri defect or vijual field dephisits
lakshan:
• sirdard or dardanaak ankhon kii harakatein
• kendriya drishy dhundhala
• mand drushti
• drushti kaa puraa nuksaan
imaging:
• emarai aksar optic tantrika ke gadolinium vruddhi ko darshata he
sansaadhan:
• american academy of optholmology
anuprastha myelitis
visheshtaayen:
• ridh kii haddi kii shithilataa aamtaur par bhadakaau ghaav ke kaaran hoti he
• aamtaur par ek siaies ke rup main prastut karata he, lekin emes yaa adiem ke saath judaa ho saktaa he
lakshan:
• ekatarfa yaa dwipaksheeya motor yaa samvedi ghate jaise ki perestasius, kamajori, sphincter disfunction;kabhi -kabhi adhik gambhir ho saktaa he, jisamen parapelia or mutr pratidhaaran shaamil he
imaging:
• emarai par gadolinium-badhaane vaale ghaav 1 yaa adhik segment se adhik failte hai
sansaadhan:
• rashtriya emes socity
• christopher reeves foundation
neuromilitis optica (enemo)
avlokan:
neuromilitis optica or neuromilitis optical spectrum vikaar (NMOSD) kendriya tantrika tantra kii bhadakaau sthiti hai jo mukhya rup se optic tantrika or ridh kii haddi ko lakshith karti hai.
visheshtaayen:
•	optic niuritis
• teevr mylitis
• postraima naidanik syndrome
• teevr brinstem syndrome
• NMOSD-Typical Diencephalic MRI ghaavon ke saath rogasuchak Narcolepsy yaa teevr diencephalic naidanik syndrome
• NMOSD-vishisht mastishk ghaavon ke saath rogasuchak cerebral syndrome
• gaiyr-cocosiyon main adhik aam, vishesh rup se asian
• sarcoid, esalai, esazogrence yaa anya vasculitis ko baahar karne ke liye mahatvapurn he
lakshan:
• optic neuritis (upar dekhen)
• anuprastha mylitis (upar dekhen)
• intractable hitchkee yaa matlee or ulti</s>
<|assistant|>
teevr prasar insephalomilitis (ADEM) kendriya tantrika tantra (CNS) main sujan kaa ek vyapak hamalaa he, jise mana jaataa he ki yah sankraman ke kaaran hota he yaa tikaakaran ke baad hota he.yah aamtaur par ek episod main hota he lekin phir se ho saktaa he.brinstem, ridh kii haddi or sabkortical ceribalam sahit kai kshetron main failaana sujan he.ADEM ke lakshanon main aam taur par insefallopathy (bhram, chidchidapan, or aakraamak multiple scalerosis sahit coma ke liye somolans ke parinamswaroop) ke saath -saath multifocal ghate, bukhaar or meningism (sirdard, photophobia or kathor gardan) shaamil hai.ADEM kaa pataa lagane ke imaging main bade (ek se do centimetre se adhik kaa arth), multifocal, dwipaksheeya, asamamit or hyperintens ghaav shaamil honge.in ghaavon ko aamtaur par emarai flair yaa tii 2-vated image par supra/infratantorial white matter main dekha jaataa he, lekin yah grey matter, vishesh rup se thilemus or basal gangliya main bhi dekha ja saktaa he.

teevr optic neuritis (aoen) optic tantrika kaa ek retrobulbaar sujan he jo teevr aadhaar par hota he.yah MS, ADEM, NMO, yaa Lupus sahit vibhinn neurologic sthitiyon se judaa ho saktaa he;yah anayas bhi ho saktaa he.yah aamtaur par ekatarfa hota he or kam drishy tikshnata, laal rang kii desaturation, drishy kshetra kii kami, or abhivahi pupilri dosha ke saath prastut karata he.lakshanon main aamtaur par sirdard, dardanaak ankhon kii harakatein, mand drushti or kendriya drishy dhundhala hota he, or drushti kaa purna nuksaan ho saktaa he.imaging ke bare main, ek emarai aksar optic tantrika ke gadolinium vruddhi ko dikhayega.

anuprastha mylitis ek or sthiti he jo aam taur par siaies ke rup main prastut karti he lekin emes yaa adiem ke saath judaa ho saktaa he.isamen ridh kii haddi kii shithilataa niyamit rup se bhadakaau ghaav (es) ke kaaran hoti he.yah ekatarfa yaa dwipaksheeya samvedi or/yaa motor kii kami jaise kamajori, sphincter disfunction or perestasiyas ko utpann karata he.yah kabhi -kabhi adhik gambhir rup se pesh kar saktaa he, jisamen mutr pratidhaaran or paraplagia shaamil hai.jab imaged, to yah MRI par ek yaa ek se adhik khandon main failane vaale gadolinium-badhaane vaale ghaavon ko dikhayega.

neuromilitis optica (enemo) or sambandhit neuromilitis optical spectrum vikaar (enemoesdy) mukhya rup se kendriya tantrika tantra main ridh kii haddi or optic tantrika ko shaamil karte hue bhadakaau sthiti he.visheshtaon main postraima clinical syndrome, teevr mylitis, optic neuritis, teevr brinstem syndrome, mastishk ke NMOSD-Typical ghaavon ke saath rogasuchak cerebral syndrome, or NMOSD-TYPICAL DIENICALIC MRI LESIONS ke saath acute dicephelic clinical syndrome yaa rogasuchak narcolepsy shaamil hai.NMO gaiyr-cocasian, vishesh rup se asian logon main adhik baar hota he.NMO or NMOSD par vichaar karte samay, Sjogrens, SLE, SARCOID, yaa anya vasculitis ko baahar karnaa mahatvapurn he.soochibaddh pichhali visheshtaon ke alaava, lakshanon main antarmukhi hitchkee, matlee or/yaa ulti bhi shaamil ho sakati he.</s>
