Atypical clinical and radiological presentation of multiple sclerosis: A case report.

Title

Atypical clinical and radiological presentation of multiple sclerosis: A case report.

Creator

Ghorpade R;Ahamad A;Bolyard J

Publisher

Multiple Sclerosis And Related Disorders

Date

2020
2020-08-22

Description

A 59-year-old, previously healthy Caucasian female patient presented to the ED with a sudden onset of focal neurological deficit, with stable vital signs. Her initial physical examination revealed left-sided facial nerve palsy and right lower extremity weakness. The CT head was negative for intracranial bleeding. Subsequently, during her hospital stay, the MRI brain with contrast demonstrated extensive white matter cystic lesions with vasogenic edema. However, after carefully ruling out stroke, metastatic disease, and infectious diseases like neurocysticercosis with radiological and serological tests, the diagnosis of demyelinating condition was presumed, and it was proven by consequent MRI of the brain and elevated IgG levels in the CSF. The patient's initial clinical presentation was pointing towards the diagnosis of ischemic stroke, while her initial MRI brain suggested the diagnosis of the space-occupying lesions, however, rapid recovery of the focal neurological deficit with steroids, and subsequent MRI brain and spine, and CSF tests confirmed the diagnosis of a demyelinating condition. The objective of this case report is to inform physicians that the clinical and radiological presentation of multiple sclerosis can be challenging; therefore, physicians should keep a high index of suspicion. (Copyright © 2020 Elsevier B.V. All rights reserved.)

Rights

Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).

Format

journalArticle

Search for Full-text

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Pages

102457

Volume

46

ISSN

2211-0356

NEOMED College

NEOMED College of Medicine

NEOMED Department

Department of Internal Medicine

Update Year & Number

September 2020 List

Citation

Ghorpade R;Ahamad A;Bolyard J, “Atypical clinical and radiological presentation of multiple sclerosis: A case report.,” NEOMED Bibliography Database, accessed January 19, 2021, https://neomed.omeka.net/items/show/11258.

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