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Image of Isolated trigeminal nerve palsy with motor involvement as a presenting manifestation of multiple sclerosis in an equatorial region–a case report
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Isolated trigeminal nerve palsy with motor involvement as a presenting manifestation of multiple sclerosis in an equatorial region–a case report

Ratnayake, Eranda C - Nama Orang; Manjula Caldera - Nama Orang; Priyankara Perera - Nama Orang; Ranjani Gamage - Nama Orang;

Abstract
Introduction: Isolated cranial nerve palsies are considered to be an uncommon presenting feature of multiple sclerosis. Involvement of the trigeminal nerve, particularly its motor component as part of a clinically isolated syndrome of multiple sclerosis has rarely been reported in equatorial regions and no cases have been described in Sri Lanka thus far.
Case Presentation:We report a case of isolated right sided trigeminal nerve palsy (Motor and Sensory) in a 34 year old previously well lady from urban Sri Lanka who was found to have characteristic lesions on Magnetic Resonance Imaging highly suggestive of multiple sclerosis.
Conclusions:Multiple sclerosis should be considered in the differential diagnosis of patients who present with isolated cranial nerve palsies. Clinicians should have a high index of suspicion when evaluating such patients especially in low prevalence regions close to the equator. Early recognition and treatment of such a“Clinically Isolated Syndrome” may prevent early relapse.


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Informasi Detail
Judul Seri
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No. Panggil
Artikel
Penerbit
Colombo : Springer., 2012
Deskripsi Fisik
-
Bahasa
English
ISBN/ISSN
doi:10.1186/1755-768
Klasifikasi
NONE
Tipe Isi
-
Tipe Media
-
Tipe Pembawa
-
Edisi
International Archives of Medicine2012,5:17
Subjek
Medicine
trigeminal nerve palsy
motor involvement
manifestation
sclerosis
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Pernyataan Tanggungjawab
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  • Isolated trigeminal nerve palsy with motor involvement as a presenting manifestation of multiple sclerosis in an equatorial region–a case report
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