A Child with Frequent Neurological Relapses
A six-year-old boy was presented with the diagnosis of left-sided hemiparesis and facial nerve paralysis. The findings showed multiple well-defined focal lesions bilaterally in the right, parietal region and the child was being treated with methylprednisolone followed by oral prednisolone. This was followed by several relapses, including recurrent episodes of limb weakness and facial nerve […]
Neuropsychiatric Symptoms After Fingolimod Withdrawal in Multiple Sclerosis Patient
Case Presentation A 26-year-old woman was presented with apathy, affective incontinence and motoric aphasia. Medical History Clinical Exam Her MRI revealed: Her neurological evaluation showed: Laboratory findings: Diagnosis The patient was diagnosed with acute multiple sclerosis lesion. Preliminary Treatment Post-Treatment Outcomes After 4th plasmapheresis, After 7th plasmapheresis, After 2 weeks, Further Treatment Follow-up After 7 […]
Multiple Sclerosis Manifested as Isolated Aphasia
Case Presentation A 33-year-old man was presented with progressive inability to speak since past 2 days. Medical History Clinical Exam His physical examination revealed: Speech evaluation showed: CT scan of the head and CT angiography of the head and neck: Unremarkable MRI Spine: Negative for any demyelinating plaques MRI of brain with contrast found: Diagnosis […]
A Case of Guillain-Barre Syndrome Preceding Multiple Sclerosis
Case Presentation A 19-year-old woman was presented with acute weakness of limbs and unsteady gait which progressed to facial weakness in 2 days. She developed symptoms over 2 weeks and was dependent at presentation. Medical History Clinical Exam Her physical examination was unremarkable. The neurological examination revealed: Laboratory evaluation: Normal Nerve conduction study: Normal Lumbar […]
Paroxysmal Itching as a Presentation of Multiple Sclerosis
Case Presentation A 45-year-old woman was presented with intense itching and tingling on the lower half of the body for a week. The itching resolved suddenly within a few seconds. Medical History Clinical Exam Her physical examination revealed: Her neurological evaluation revealed: The psychopathological examination showed: Her MRI revealed: Laboratory evaluation demonstrated: Diagnosis The patient […]
Adalimumab-Induced Primary Progressive Multiple Sclerosis
A 45-year-old woman was presented with progressive visual problems, gait impairment and urinary dysfunction. The patient had a history of Graves’ disease, Sjogren disease and cystic nodular acne for about a decade. Over the past 4 years, she had underwent adalimumab therapy with excellent clinical response. Her evaluation revealed MRI lesions typical for MS, positive […]