Late-onset Parry-Romberg Syndrome with atypical neurological manifestations: A case report

Parry-Romberg Syndrome (PRS) is a rare neurocutaneous disorder characterized by gradual facial hemiatrophy. We present a case study of a 64-year-old woman with late-onset PRS and linear scleroderma. The patient exhibited atypical PRS symptoms including leg numbness, hyper-reflexia, trigeminal neural...

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Main Authors: Sema Akkus, MD, Suban Amatya, MD, Kriti Shrestha, MD, Shitiz Sriwastava, MD, Demetrios A. Karides, MD
Format: Article
Language:English
Published: Elsevier 2024-01-01
Series:Radiology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043323007756
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author Sema Akkus, MD
Suban Amatya, MD
Kriti Shrestha, MD
Shitiz Sriwastava, MD
Demetrios A. Karides, MD
author_facet Sema Akkus, MD
Suban Amatya, MD
Kriti Shrestha, MD
Shitiz Sriwastava, MD
Demetrios A. Karides, MD
author_sort Sema Akkus, MD
collection DOAJ
description Parry-Romberg Syndrome (PRS) is a rare neurocutaneous disorder characterized by gradual facial hemiatrophy. We present a case study of a 64-year-old woman with late-onset PRS and linear scleroderma. The patient exhibited atypical PRS symptoms including leg numbness, hyper-reflexia, trigeminal neuralgia, and severe headaches. Diagnostic evaluations revealed chronic left-sided cerebral infarction, microhemorrhages, and nerve involvement. Treatment options for PRS are limited and aim to manage symptoms. This case highlights the diagnostic challenges of late-onset PRS, emphasizing interdisciplinary approach. Further research and improved therapies are essential for better patient outcomes.
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spelling doaj.art-59ae3ddd05c3441894363919fcc2975a2023-11-25T04:47:33ZengElsevierRadiology Case Reports1930-04332024-01-01191459463Late-onset Parry-Romberg Syndrome with atypical neurological manifestations: A case reportSema Akkus, MD0Suban Amatya, MD1Kriti Shrestha, MD2Shitiz Sriwastava, MD3Demetrios A. Karides, MD4Department of Neurology, Icahn School of Medicine at Mount Sinai, New York, NY, USADepartment of Medicine, Patan Academy of Health Sciences, Lalitpur, Nepal; Corresponding author.Department of Medicine, Patan Academy of Health Sciences, Lalitpur, NepalDivision of Multiple Sclerosis and Neuroimmunology, Department of Neurology, McGovern Medical School (UT Health), University of Texas Health Science Center at Houston, Houston, TX, USADepartment of Neurology, Mount Sinai Health System, New York, NY, USAParry-Romberg Syndrome (PRS) is a rare neurocutaneous disorder characterized by gradual facial hemiatrophy. We present a case study of a 64-year-old woman with late-onset PRS and linear scleroderma. The patient exhibited atypical PRS symptoms including leg numbness, hyper-reflexia, trigeminal neuralgia, and severe headaches. Diagnostic evaluations revealed chronic left-sided cerebral infarction, microhemorrhages, and nerve involvement. Treatment options for PRS are limited and aim to manage symptoms. This case highlights the diagnostic challenges of late-onset PRS, emphasizing interdisciplinary approach. Further research and improved therapies are essential for better patient outcomes.http://www.sciencedirect.com/science/article/pii/S1930043323007756Parry-Romberg syndromeProgressive facial hemiatrophyNeuroimagingBrain MRILate-onsetAtypical manifestations
spellingShingle Sema Akkus, MD
Suban Amatya, MD
Kriti Shrestha, MD
Shitiz Sriwastava, MD
Demetrios A. Karides, MD
Late-onset Parry-Romberg Syndrome with atypical neurological manifestations: A case report
Radiology Case Reports
Parry-Romberg syndrome
Progressive facial hemiatrophy
Neuroimaging
Brain MRI
Late-onset
Atypical manifestations
title Late-onset Parry-Romberg Syndrome with atypical neurological manifestations: A case report
title_full Late-onset Parry-Romberg Syndrome with atypical neurological manifestations: A case report
title_fullStr Late-onset Parry-Romberg Syndrome with atypical neurological manifestations: A case report
title_full_unstemmed Late-onset Parry-Romberg Syndrome with atypical neurological manifestations: A case report
title_short Late-onset Parry-Romberg Syndrome with atypical neurological manifestations: A case report
title_sort late onset parry romberg syndrome with atypical neurological manifestations a case report
topic Parry-Romberg syndrome
Progressive facial hemiatrophy
Neuroimaging
Brain MRI
Late-onset
Atypical manifestations
url http://www.sciencedirect.com/science/article/pii/S1930043323007756
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