An Atypical Presentation of Multiple Sclerosis
ABSTRACT
Multiple Sclerosis (MS) involves an immune mediated process in which an abnormal response of the body’s immune system is directed against the central nervous system (CNS). Multiple sclerosis is a very variable condition and the symptoms depend on which areas of the CNS have been affected. There is no set pattern for MS and everyone with MS has a different set of symptoms, which vary from time to time and can change in severity and duration, even in the same person. Hence diagnosing MS at the earliest is very essential. Therefore we report an unusual case of a 30-year-old female with complaints of headache, vomiting & hiccups since 2 months followed by weakness of bilateral lower limbs and later upper limbs which eventually were diagnosed as Multiple Sclerosis. We are reporting this case because of the vague clinical presentation of Multiple Sclerosis. Aim: To recognize the symptoms of MS at the earliest and start treatment early.
Multiple Sclerosis (MS) involves an immune mediated process in which an abnormal response of the body’s immune system is directed against the central nervous system (CNS). Multiple sclerosis is a very variable condition and the symptoms depend on which areas of the CNS have been affected. There is no set pattern for MS and everyone with MS has a different set of symptoms, which vary from time to time and can change in severity and duration, even in the same person. Hence diagnosing MS at the earliest is very essential. Therefore we report an unusual case of a 30-year-old female with complaints of headache, vomiting & hiccups since 2 months followed by weakness of bilateral lower limbs and later upper limbs which eventually were diagnosed as Multiple Sclerosis. We are reporting this case because of the vague clinical presentation of Multiple Sclerosis. Aim: To recognize the symptoms of MS at the earliest and start treatment early.
Cite this paper
Shetty, A. , Mukherji, A. , Joshi, M. , Fulara, S. and Patel, N. (2014) An Atypical Presentation of Multiple Sclerosis. Open Journal of Clinical Diagnostics, 4, 173-176. doi: 10.4236/ojcd.2014.43025.
Shetty, A. , Mukherji, A. , Joshi, M. , Fulara, S. and Patel, N. (2014) An Atypical Presentation of Multiple Sclerosis. Open Journal of Clinical Diagnostics, 4, 173-176. doi: 10.4236/ojcd.2014.43025.
References
[1] Singhal, B.S. (1985) Multiple Sclerosis-Indian Experience. Annals of the Academy of Medicine, Singapore, 14, 32-36. [2] Chopra, J.S., Radhakrishnan, K., Sawhney, B.B., et al. (1980) Multiple Sclerosis in North-West India. Acta Neurologica Scandinavica, 62, 312-321.
http://dx.doi.org/10.1111/j.1600-0404.1980.tb03042.x [3] Jain, S. and Maheshwari, M.C. (1985) Multiple Sclerosis: Indian Experience in the Last Thirty Years. Neuroepidemiology, 4, 96-107.
http://dx.doi.org/10.1159/000110220 [4] Gangopadhyay, G., Das, S.K., Sarda, P., et al. (1999) Clinical Profile of Multiple Sclerosis in Bengal. Neurology India, 47, 18-21. [5] Tremlett, H.L., Luscombe, D.K. and Wiles, C.M. (1998) Use of Corticosteroids in Multiple Sclerosis by Consultant Neurologists in the United Kingdom. Journal of Neurology, Neurosurgery & Psychiatry, 65, 362-365.
http://dx.doi.org/10.1136/jnnp.65.3.362 [6] Henze, T., Riekmann, P. and Toyka, K.V. (2006) Symptomatic Treatment of Multiple Sclerosis-Multiple Sclerosis Therapy Consensus Group (MSTCG) of the German Multiple Sclerosis Society. European Neurology, 56, 78-105.
http://dx.doi.org/10.1159/000095699
[1] Singhal, B.S. (1985) Multiple Sclerosis-Indian Experience. Annals of the Academy of Medicine, Singapore, 14, 32-36. [2] Chopra, J.S., Radhakrishnan, K., Sawhney, B.B., et al. (1980) Multiple Sclerosis in North-West India. Acta Neurologica Scandinavica, 62, 312-321.
http://dx.doi.org/10.1111/j.1600-0404.1980.tb03042.x [3] Jain, S. and Maheshwari, M.C. (1985) Multiple Sclerosis: Indian Experience in the Last Thirty Years. Neuroepidemiology, 4, 96-107.
http://dx.doi.org/10.1159/000110220 [4] Gangopadhyay, G., Das, S.K., Sarda, P., et al. (1999) Clinical Profile of Multiple Sclerosis in Bengal. Neurology India, 47, 18-21. [5] Tremlett, H.L., Luscombe, D.K. and Wiles, C.M. (1998) Use of Corticosteroids in Multiple Sclerosis by Consultant Neurologists in the United Kingdom. Journal of Neurology, Neurosurgery & Psychiatry, 65, 362-365.
http://dx.doi.org/10.1136/jnnp.65.3.362 [6] Henze, T., Riekmann, P. and Toyka, K.V. (2006) Symptomatic Treatment of Multiple Sclerosis-Multiple Sclerosis Therapy Consensus Group (MSTCG) of the German Multiple Sclerosis Society. European Neurology, 56, 78-105.
http://dx.doi.org/10.1159/000095699