Relapsing inflammatory demyelinating syndromes amongst children in Borneo
- Author:
Terrence Thomas
- Publication Type:Journal Article
- From:Neurology Asia
2014;19(1):37-49
- CountryMalaysia
- Language:English
-
Abstract:
We present a case series of children with relapsing inflammatory demyelination who live on the
island of Borneo, a relatively rural region of South East Asia with a warm, tropical climate. The four
cases are a 9 year old girl with a polyfocal clinically isolated syndrome who had a single recurrence
of symptoms soon after completing steroid taper, a 6 year old boy with relapsing-remitting multiple
sclerosis (MS), an 8 year old boy with relapsing neuromyelitis optica and an 8 year old boy with chronic
recurrent optic neuritis (CRION). The clinical presentation and neuroimaging features in our children
are similar those seen in children living in temperate world regions. The new recommendations by the
International Pediatric Multiple Sclerosis Study Group (IPMSSG) in classifying childhood inflammatory
demyelinating disorders are useful in our children. This report hopes to raise awareness of relapsing
inflammatory demyelinating syndromes in children living in a region with a low risk for MS.
- Full text:P020150623525553997067.pdf