Document Detail


Acute severe memory impairment as a presenting symptom of multiple sclerosis: a clinical case study with 3D double inversion recovery MR imaging.
MedLine Citation:
PMID:  20846999     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
We present the case of a 21-year-old woman with acute memory impairment. It was initially not recognized as organic in nature. Repeated neuropsychological testing confirmed severely disturbed encoding and recall. Three-dimensional double inversion recovery (3D-DIR) MRI confirmed hippocampal and cortical lesions. Further clinical symptoms, visual evoked potential and MRI suggested a diagnosis of multiple sclerosis (MS). The amnestic syndrome has remained for 5 years. This case illustrates that MS can present with acute cortical symptoms which can be difficult to recognize. The hippocampus can be acutely affected and DIR MRI imaging can help to demonstrate cortical lesions that explain the clinical picture.
Authors:
Jaf Coebergh; Sd Roosendaal; Ch Polman; Jj Geurts; Tcam van Woerkom
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Publication Detail:
Type:  Journal Article     Date:  2010-09-16
Journal Detail:
Title:  Multiple sclerosis (Houndmills, Basingstoke, England)     Volume:  16     ISSN:  1477-0970     ISO Abbreviation:  Mult. Scler.     Publication Date:  2010 Dec 
Date Detail:
Created Date:  2010-12-01     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9509185     Medline TA:  Mult Scler     Country:  England    
Other Details:
Languages:  eng     Pagination:  1521-4     Citation Subset:  IM    
Affiliation:
Department of Neurology and Clinical Neurophysiology, Haga Teaching Hospital, The Hague, The Netherlands. coebergh@doctors.org.uk.
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