Thank you for your inquiry.
I am not aware of, and could not find in the literature, any reason to withhold venom immunotherapy in a patient who had an episode of acute disseminated encephalomyelitis. Thus I think that the most reasonable conclusion is that a previous episode of ADEM would not preclude the administration of venom immunotherapy.
Thank you again for your inquiry and we hope this response is helpful to you.
Phil Lieberman, M.D.