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Monoballism revealing multiple sclerosis. Neuroradiological aspects
Author(s) -
Rosa A.,
Canaple S.,
Gondry C,
Touzet G.,
Gérard P.
Publication year - 1996
Publication title -
european journal of neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.881
H-Index - 124
eISSN - 1468-1331
pISSN - 1351-5101
DOI - 10.1111/j.1468-1331.1996.tb00278.x
Subject(s) - medicine , diplopia , multiple sclerosis , dysesthesia , vertigo , internuclear ophthalmoplegia , neurological examination , radiology , ophthalmology , surgery , psychiatry
A 38‐year‐old woman suddenly showed signs of monoballism in the right upper limb. Examination of CSF showed 13 monocytes per mm 3 and 28.7% of IgG in oligoclonal bands. MRI examination showed several high signal lesions in T 2 ‐weighted images. One of these lesions was located in the left subthalamic region. Visual evoked potentials showed increased latencies for the P100 wave on the left eye. Two years later she experienced vertigo, diplopia, gait unsteadiness and left facial dysesthesia. This clinical syndrome almost completely regressed after 10 days of ACTH therapy (Synacthene). Diagnosis of multiple sclerosis was supported by radiological and neurophysiological investigations.