A Multiple sclerosis case presenting with atipical symptoms
Dr. Hikmet Yılmaz1, Dr. A. Cemal Özcan1, Dr. A. Münife Müftüoğlu Neyal, Dr. Atilla İlhan1, Dr. M. Ali Bereketoğlu1, Dr. Hakan Ekmekçi1.
Though the clinical symptomatology in multiple sclerosis (MS) is fairly abundant, the symptoms of loss of consciousness and hemiplegia developed acutely are not seen freguently.In this study, 26- year old woman coming with loss of consciousness and hemiplegia developed acutely and not describing a similiar attack previously is evaluated. Encephalitis and serebrovascular accident were excluded with prime examination. She was hospitalised to evaluate on behalf of vasculitis and demiyelinasing diseases. Immediately after the evaluation with the view of vasculitis, a 1000mg methylprednisolone daily therapy was started. This patient whose vasculitis examinations were negative, general status proved well after steroid therapy. Neurological examination findings deceased nearly total and magnetic resonance (MR) imaging supported MS was accepted as MS case. The clinic and the course of patient followed for 15 months are discussed. [Journal of Turgut Ozal Medical Center 1997;4(1):120-122]
Key Words: Multiple sclerosis, consciousness, hemiplegia