A Case of Multiple Sclerosis.
- Author:
Young Hee HA
1
;
Jong Hyun KIM
;
Soo Joong LEE
;
Dae Kyun KOH
Author Information
1. Department of Pediatrics, Catholic University, College of Medicine, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Multiple sclerosis;
Acute disseminated encephalomyelitis;
Brain MRI
- MeSH:
Brain;
Central Nervous System;
Deglutition Disorders;
Demyelinating Diseases;
Diagnosis;
Diplopia;
Encephalomyelitis, Acute Disseminated;
Follow-Up Studies;
Headache;
Hypothalamus;
Magnetic Resonance Imaging;
Methylprednisolone;
Multiple Sclerosis*;
Neurologic Manifestations;
Ophthalmoplegia;
Paresthesia
- From:Journal of the Korean Pediatric Society
1998;41(2):264-269
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Multiple sclerosis is a chronic inflammatory demyelinating disease of the central nervous system and its lesions are multiple in time as well as space.We experienced a case of a 14-year-old-girl with dysphagia, paresthesia and headache. Brain MRI scans demonstrated high signal intensities on T2-weighted images at the medulla and upper cervical cord. Acute disseminated encephalomyelitis was diagnosed and methylprednisolone pulse therapy was done. After 6 months she re-experienced diplopia, ophthalmoplegia and other neurological symptoms. There were increased signal intensities on T2-weighted image at the tegmentum, periaqueduct and hypothalamus in follow-up brain MRI. Finally, a diagnosis of multiple sclerosis was made. Methylprednisolone pulse therapy was started and she then recovered without any neurologic symptoms and signs. We report a case of multiple sclerosis in a 14-year- old-girl who was confirmed by clinical courses and serial MRIs.
