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Transient dorsal midbrain syndrome as the initial presentation of multiple sclerosis / Kelly Mallo in OVS : Optometry & Vision Science, vol. 96, 08 (Aout 2019)
[article]
in OVS : Optometry & Vision Science > vol. 96, 08 (Aout 2019)
Titre : Transient dorsal midbrain syndrome as the initial presentation of multiple sclerosis Type de document : article de périodique Auteurs : Kelly Mallo ; Erin Hartigan ; Ashley Kay Maglione Année de publication : 2019 Langues : Français (fre) Descripteurs (mots clés) : [Thésaurus HELB]:Optique:paralysie du regard
[Thésaurus HELB]:Optique:syndrome du mésencéphale dorsal
[Thésaurus HELB]:Paramédical:étiologie
[Thésaurus Mesh]:S:Sclérose en plaques:Sclérose en plaques / complications
[Thésaurus Mesh]Présentations de cas
[Thésaurus Mesh]Troubles de la motilité oculaireRésumé : SIGNIFICANCE Prompt neuroimaging is important to identify multiple sclerosis lesions in the appropriate clinical setting. However, despite a normal brain MRI finding, a diagnosis of multiple sclerosis still must be considered in cases of dorsal midbrain syndrome, even if it is transient.
PURPOSE The purpose of this case report is to present a patient with a transient presentation of dorsal midbrain syndrome, resolving within 1 week of initial symptoms, which was ultimately attributed to multiple sclerosis in the setting of a normal enhanced brain MRI study.
CASE REPORT A 33-year-old man with new-onset visual complaints was found to have upgaze paresis, eyelid retraction, and pupillary light-near dissociation suggestive of dorsal midbrain syndrome. Within days, enhanced brain MRI was completed and showed a normal finding, and the clinical features of dorsal midbrain syndrome had resolved. Subsequent spine imaging and lumbar puncture lead to an ultimate diagnosis of multiple sclerosis.
CONCLUSIONS There have been a few reported cases of dorsal midbrain syndrome as the presenting feature of multiple sclerosis. This case is unique because it reports a transient presentation of dorsal midbrain syndrome, documented to have resolved only days after initial presentation, which was ultimately attributed to multiple sclerosis.
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