Atipik semptomlarla baş vuran bir multipl skleroz olgusu
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Dosyalar
Tarih
1997
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
İnönü Üniversitesi Tıp Fakültesi Dergisi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Multipl skleroz (MS) 'da klinik semptomatoloji çok zengin olmakla birlikte akut bilinç kaybı ve hemipleji semptomları sık görülmez. Bu çalışmada akut gelişen bilinç kaybı ve sağ hemipleji kliniği ile gelen ve daha önce benzer bir atak tanımlamayan 26 yaşında bir kadın olgu irdelendi. Yapılan tetkiklerden sonra diğer akut bilinç kaybı ve hemipleji nedenleri dışlandı. Olgunun manyetik rezonans (MR) görüntülemesi ve diğer laboratuvar tetkiklerinde multipl sklerozu destekleyen bulguları nedeniyle MS tanısı ile izleme alındı. Yüksek doz metil prednizolon tedavisinden sonra genel durumu düzelen, nörolojik muayene bulguları tama yakın gerileyen ve iki yıldır izlenmekte olan hastanın kliniği ve izlem özellikleri tartışıldı.
Though the clinical symptomatology in multiple sclerosis (MS) is fairly abundant, the symptoms of loss of consciousness and hemiplegia developed acutely are not seen freguently.In this study, 26- year old woman coming with loss of consciousness and hemiplegia developed acutely and not describing a similiar attack previously is evaluated. Encephalitis and serebrovascular accident were excluded with prime examination. She was hospitalised to evaluate on behalf of vasculitis and demiyelinasing diseases. Immediately after the evaluation with the view of vasculitis, a 1000mg methylprednisolone daily therapy was started. This patient whose vasculitis examinations were negative, general status proved well after steroid therapy. Neurological examination findings deceased nearly total and magnetic resonance (MR) imaging supported MS was accepted as MS case. The clinic and the course of patient followed for 15 months are discussed.
Though the clinical symptomatology in multiple sclerosis (MS) is fairly abundant, the symptoms of loss of consciousness and hemiplegia developed acutely are not seen freguently.In this study, 26- year old woman coming with loss of consciousness and hemiplegia developed acutely and not describing a similiar attack previously is evaluated. Encephalitis and serebrovascular accident were excluded with prime examination. She was hospitalised to evaluate on behalf of vasculitis and demiyelinasing diseases. Immediately after the evaluation with the view of vasculitis, a 1000mg methylprednisolone daily therapy was started. This patient whose vasculitis examinations were negative, general status proved well after steroid therapy. Neurological examination findings deceased nearly total and magnetic resonance (MR) imaging supported MS was accepted as MS case. The clinic and the course of patient followed for 15 months are discussed.
Açıklama
[Journal of Turgut Ozal Medical Center 1997;4(1):120-122]
Anahtar Kelimeler
Multipl skleroz, Bilinç kaybı, Hemipleji, Multiple sclerosis, Consciousness, Hemiplegia
Kaynak
Turgut Özal Tıp Merkezi Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
4
Sayı
1
Künye
Hikmet, Y.,Özcan, A. C.,Neyal, A. Münife M., İlhan, A.,Bereketoğlu, M. A.,Ekmekçi, H.,(1997). Atipik semptomlarla baş vuran bir multipl skleroz olgusu.Turgut Özal Tıp Merkezi Dergisi, 4 (1). 120-122 ss.
