A Case of Multiple Sclerosis Involving Hypothalamus.
- Author:
Hyun BANG
1
;
Young Min LIM
;
Kwang Kuk KIM
Author Information
1. Department of Neurology, Asan Medical Center, College of Medicine, University of Ulsan, Korea. kkkim@www.amc.seoul.kr
- Publication Type:Case Report
- Keywords:
Multiple Sclerosis;
Hypothalamus
- MeSH:
Adult;
Amenorrhea;
Brain;
Disorders of Excessive Somnolence;
Female;
Follow-Up Studies;
Humans;
Hyperphagia;
Hypothalamus*;
Magnetic Resonance Imaging;
Multiple Sclerosis*;
Prolactin;
Thalamus;
Thyrotropin
- From:Journal of the Korean Neurological Association
2002;20(2):191-194
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Lesions of multiple sclerosis (MS) are rarely distributed in deep gray matter. We report a case of MS with hypothala-mic lesions. A 26-year-old woman with MS developed hyperphagia, hypersomnolence, and amenorrhea. Brain MRI revealed bilateral lesions in both hypothalamus and thalamus. Serum prolactin concentration was increased and thyroid stimulating hormone (TSH) level was decreased. Three months after steroid pulse therapy, her symptoms were com-pletely resolved and prolactin concentration became normal Follow-up brain MRI demonstrated complete disappear-ance of previous lesions.
