Anlıaçık Süleyman, Uca Ali Ulvi, Kozak Hasan Hüseyin, Akpınar Zehra
Department of Neurology, Meram Faculty of Medicine, Necmettin Erbakan University, Konya, Turkey.
Am J Emerg Med. 2016 Jan;34(1):117.e5-6. doi: 10.1016/j.ajem.2015.05.025. Epub 2015 May 29.
Multiple sclerosis affects many regions of the central nervous system and leads to visual, oculomotor, motor, sensorial, cerebellar, and cognitive disorders. In addition to classic clinical findings, sudden paroxysmal symptoms triggered by motion, hyperventilation, or sensory stimulus may occur. In this article, we present a case of convergence spasm attended by paroxysmal symptoms, a rarely observed situation but one which can have complete recovery through administration of 5-day intravenous (i.v.) methylprednisolone therapy, together with its imaging findings and video records.
多发性硬化影响中枢神经系统的多个区域，并导致视觉、动眼、运动、感觉、小脑和认知障碍。除了经典的临床症状外，还可能出现由运动、过度换气或感觉刺激引发的突发阵发性症状。在本文中，我们报告了一例伴有阵发性症状的集合痉挛病例，这种情况很少见，但通过5天静脉注射甲基泼尼松龙治疗可完全恢复，并展示了其影像学表现和视频记录。
