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Post-operative quadriplegia as the initial manifestation of tumefactive multiple sclerosis.

Maghsoudi B, Haddad H, Vatankhah P, Rasekhi A, Jaberi AR - Indian J Crit Care Med (2015)

Bottom Line: The patient was treated with methyl prednisolone pulse therapy and showed a dramatic response.Uncommon neurologic diseases can have very unusual presentations, which should be taken into consideration when encountered with such patients.Considering this fact will help physicians in better decision-making and proper treatment planning.

View Article: PubMed Central - PubMed

Affiliation: Department of Anesthesiology, Shiraz University of Medical Sciences, Shiraz, Iran.

ABSTRACT
Post-operative quadriplegia is a rarely encountered complication and not previously reported as the initial presentation of tumefactive multiple sclerosis. We present an unusual case of a patient with such manifestation and atypical lesions on brain magnetic resonance imaging. The patient was treated with methyl prednisolone pulse therapy and showed a dramatic response. Uncommon neurologic diseases can have very unusual presentations, which should be taken into consideration when encountered with such patients. Considering this fact will help physicians in better decision-making and proper treatment planning.

No MeSH data available.


Related in: MedlinePlus

Images (a-c) revealing a lesion in right temporal lobe, involving both gray and white matter, which is hyposignal in T1, and hypersignal in T2, and fluid-attenuated inversion-recovery images
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Figure 2: Images (a-c) revealing a lesion in right temporal lobe, involving both gray and white matter, which is hyposignal in T1, and hypersignal in T2, and fluid-attenuated inversion-recovery images

Mentions: Due to neurological findings, brain MRI was performed which revealed a focus of high signal intensity in left cerebellar peduncle extending to the left side of medulla oblongata on T2 and fluid-attenuated inversion-recovery (FLAIR) images showing expansion and peripheral enhancement after contrast injection [Figure 1]. A hypersignal lesion in T2 and FLAIR images were also noted in the right temporal lobe, involving both gray and white matter, which was hyposignal in T1 [Figure 2].


Post-operative quadriplegia as the initial manifestation of tumefactive multiple sclerosis.

Maghsoudi B, Haddad H, Vatankhah P, Rasekhi A, Jaberi AR - Indian J Crit Care Med (2015)

Images (a-c) revealing a lesion in right temporal lobe, involving both gray and white matter, which is hyposignal in T1, and hypersignal in T2, and fluid-attenuated inversion-recovery images
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4478679&req=5

Figure 2: Images (a-c) revealing a lesion in right temporal lobe, involving both gray and white matter, which is hyposignal in T1, and hypersignal in T2, and fluid-attenuated inversion-recovery images
Mentions: Due to neurological findings, brain MRI was performed which revealed a focus of high signal intensity in left cerebellar peduncle extending to the left side of medulla oblongata on T2 and fluid-attenuated inversion-recovery (FLAIR) images showing expansion and peripheral enhancement after contrast injection [Figure 1]. A hypersignal lesion in T2 and FLAIR images were also noted in the right temporal lobe, involving both gray and white matter, which was hyposignal in T1 [Figure 2].

Bottom Line: The patient was treated with methyl prednisolone pulse therapy and showed a dramatic response.Uncommon neurologic diseases can have very unusual presentations, which should be taken into consideration when encountered with such patients.Considering this fact will help physicians in better decision-making and proper treatment planning.

View Article: PubMed Central - PubMed

Affiliation: Department of Anesthesiology, Shiraz University of Medical Sciences, Shiraz, Iran.

ABSTRACT
Post-operative quadriplegia is a rarely encountered complication and not previously reported as the initial presentation of tumefactive multiple sclerosis. We present an unusual case of a patient with such manifestation and atypical lesions on brain magnetic resonance imaging. The patient was treated with methyl prednisolone pulse therapy and showed a dramatic response. Uncommon neurologic diseases can have very unusual presentations, which should be taken into consideration when encountered with such patients. Considering this fact will help physicians in better decision-making and proper treatment planning.

No MeSH data available.


Related in: MedlinePlus