Two Multiple Sclerosis Relapses Affecting the Left Pontine-Mesencephalic Transition and Later the Right Mid Pons, With Distinct Eye Movement Abnormalities - The Importance Of Semiology Above Medical Imaging: Case Report
The authors report the case of a 22-year-old female patient who presented with two distinct relapses of multiple sclerosis. The first was a lesion in the dorsal paramedian pontine area to the left, and the second, not visible in the MRI but presumably affecting the right medial longitudinal fascicul...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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European Medical Journal
2020-09-01
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| Series: | EMJ Radiology |
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| Online Access: | https://www.emjreviews.com/radiology/article/two-multiple-sclerosis-relapses-affecting-the-left-pontine-mesencephalic-transition-and-later-the-right-mid-pons-with-distinct-eye-movement-abnormalities-the-importance-of-semiology-above-medical-i/ |
| _version_ | 1819299182597373952 |
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| author | Paulo Afonso Mei Francisco Saulo S.C. Tavares |
| author_facet | Paulo Afonso Mei Francisco Saulo S.C. Tavares |
| author_sort | Paulo Afonso Mei |
| collection | DOAJ |
| description | The authors report the case of a 22-year-old female patient who presented with two distinct relapses of multiple sclerosis. The first was a lesion in the dorsal paramedian pontine area to the left, and the second, not visible in the MRI but presumably affecting the right medial longitudinal fasciculus, in the pons. In both cases, the semiology was unquestionable and compatible to the proposed areas of demyelination, with the patient fully recovering her eye movements after pulses of methylprednisolone. |
| first_indexed | 2024-12-24T05:41:44Z |
| format | Article |
| id | doaj.art-35e7c9ea3c904bcb8ba94b4b5bb7fece |
| institution | Directory Open Access Journal |
| issn | 2633-9978 |
| language | English |
| last_indexed | 2024-12-24T05:41:44Z |
| publishDate | 2020-09-01 |
| publisher | European Medical Journal |
| record_format | Article |
| series | EMJ Radiology |
| spelling | doaj.art-35e7c9ea3c904bcb8ba94b4b5bb7fece2022-12-21T17:12:47ZengEuropean Medical JournalEMJ Radiology2633-99782020-09-0111899310.33590/emjradiol/19-00192Two Multiple Sclerosis Relapses Affecting the Left Pontine-Mesencephalic Transition and Later the Right Mid Pons, With Distinct Eye Movement Abnormalities - The Importance Of Semiology Above Medical Imaging: Case ReportPaulo Afonso Mei0Francisco Saulo S.C. Tavares1University of Campinas (UNICAMP), São Paulo, Brazil; São Leopoldo Mandic College, Campinas, BrazilUniversity of Campinas (UNICAMP), São Paulo, BrazilThe authors report the case of a 22-year-old female patient who presented with two distinct relapses of multiple sclerosis. The first was a lesion in the dorsal paramedian pontine area to the left, and the second, not visible in the MRI but presumably affecting the right medial longitudinal fasciculus, in the pons. In both cases, the semiology was unquestionable and compatible to the proposed areas of demyelination, with the patient fully recovering her eye movements after pulses of methylprednisolone.https://www.emjreviews.com/radiology/article/two-multiple-sclerosis-relapses-affecting-the-left-pontine-mesencephalic-transition-and-later-the-right-mid-pons-with-distinct-eye-movement-abnormalities-the-importance-of-semiology-above-medical-i/nternuclear ophthalmoplegiamultiple sclerosis (ms)normal appearing white matter (nawm)semiologythroclear nerve palsy |
| spellingShingle | Paulo Afonso Mei Francisco Saulo S.C. Tavares Two Multiple Sclerosis Relapses Affecting the Left Pontine-Mesencephalic Transition and Later the Right Mid Pons, With Distinct Eye Movement Abnormalities - The Importance Of Semiology Above Medical Imaging: Case Report EMJ Radiology nternuclear ophthalmoplegia multiple sclerosis (ms) normal appearing white matter (nawm) semiology throclear nerve palsy |
| title | Two Multiple Sclerosis Relapses Affecting the Left Pontine-Mesencephalic Transition and Later the Right Mid Pons, With Distinct Eye Movement Abnormalities - The Importance Of Semiology Above Medical Imaging: Case Report |
| title_full | Two Multiple Sclerosis Relapses Affecting the Left Pontine-Mesencephalic Transition and Later the Right Mid Pons, With Distinct Eye Movement Abnormalities - The Importance Of Semiology Above Medical Imaging: Case Report |
| title_fullStr | Two Multiple Sclerosis Relapses Affecting the Left Pontine-Mesencephalic Transition and Later the Right Mid Pons, With Distinct Eye Movement Abnormalities - The Importance Of Semiology Above Medical Imaging: Case Report |
| title_full_unstemmed | Two Multiple Sclerosis Relapses Affecting the Left Pontine-Mesencephalic Transition and Later the Right Mid Pons, With Distinct Eye Movement Abnormalities - The Importance Of Semiology Above Medical Imaging: Case Report |
| title_short | Two Multiple Sclerosis Relapses Affecting the Left Pontine-Mesencephalic Transition and Later the Right Mid Pons, With Distinct Eye Movement Abnormalities - The Importance Of Semiology Above Medical Imaging: Case Report |
| title_sort | two multiple sclerosis relapses affecting the left pontine mesencephalic transition and later the right mid pons with distinct eye movement abnormalities the importance of semiology above medical imaging case report |
| topic | nternuclear ophthalmoplegia multiple sclerosis (ms) normal appearing white matter (nawm) semiology throclear nerve palsy |
| url | https://www.emjreviews.com/radiology/article/two-multiple-sclerosis-relapses-affecting-the-left-pontine-mesencephalic-transition-and-later-the-right-mid-pons-with-distinct-eye-movement-abnormalities-the-importance-of-semiology-above-medical-i/ |
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