| A Case of Multiple Sclerosis |
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Young Hee Ha, Jong Hyun Kim, Soo Joong Lee, Dae Kyun Koh |
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Department of Pediatrics, Catholic University, College of Medicine, Seoul, Korea |
| 다발성 경화ì¦(Multiple Sclerosis) 1예 |
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하ì˜í¬, 김종현, ì´ìˆ˜ì¤‘, ê³ ëŒ€ê· |
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가톨ë¦ëŒ€í•™êµ ì˜ê³¼ëŒ€í•™ 소아과학êµì‹¤ |
Correspondence:
Young Hee Ha, Email: 1
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| Abstract |
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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. |
| Key Words:
Multiple sclerosis, Acute disseminated encephalomyelitis, Brain MRI |
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