Two Multiple Sclerosis Relapses Affecting the Left Pontine-Mesencephalic Transition and Later the Right Mid Pons, With Distinct Eye Movement Abnormalities - The Importance Of Semiology Above Medical Imaging: Case Report

The authors report the case of a 22-year-old female patient who presented with two distinct relapses of multiple sclerosis. The first was a lesion in the dorsal paramedian pontine area to the left, and the second, not visible in the MRI but presumably affecting the right medial longitudinal fascicul...

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Main Authors:	Paulo Afonso Mei, Francisco Saulo S.C. Tavares
Format:	Article
Language:	English
Published:	European Medical Journal 2020-09-01
Series:	EMJ Radiology
Subjects:	nternuclear ophthalmoplegia multiple sclerosis (ms) normal appearing white matter (nawm) semiology throclear nerve palsy
Online Access:	https://www.emjreviews.com/radiology/article/two-multiple-sclerosis-relapses-affecting-the-left-pontine-mesencephalic-transition-and-later-the-right-mid-pons-with-distinct-eye-movement-abnormalities-the-importance-of-semiology-above-medical-i/

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spelling	doaj-35e7c9ea3c904bcb8ba94b4b5bb7fece2021-02-09T16:00:25ZengEuropean Medical JournalEMJ Radiology2633-99782020-09-0111899310.33590/emjradiol/19-00192Two Multiple Sclerosis Relapses Affecting the Left Pontine-Mesencephalic Transition and Later the Right Mid Pons, With Distinct Eye Movement Abnormalities - The Importance Of Semiology Above Medical Imaging: Case ReportPaulo Afonso Mei0Francisco Saulo S.C. Tavares1University of Campinas (UNICAMP), São Paulo, Brazil; São Leopoldo Mandic College, Campinas, BrazilUniversity of Campinas (UNICAMP), São Paulo, BrazilThe authors report the case of a 22-year-old female patient who presented with two distinct relapses of multiple sclerosis. The first was a lesion in the dorsal paramedian pontine area to the left, and the second, not visible in the MRI but presumably affecting the right medial longitudinal fasciculus, in the pons. In both cases, the semiology was unquestionable and compatible to the proposed areas of demyelination, with the patient fully recovering her eye movements after pulses of methylprednisolone.https://www.emjreviews.com/radiology/article/two-multiple-sclerosis-relapses-affecting-the-left-pontine-mesencephalic-transition-and-later-the-right-mid-pons-with-distinct-eye-movement-abnormalities-the-importance-of-semiology-above-medical-i/nternuclear ophthalmoplegiamultiple sclerosis (ms)normal appearing white matter (nawm)semiologythroclear nerve palsy
collection	DOAJ
language	English
format	Article
sources	DOAJ
author	Paulo Afonso Mei Francisco Saulo S.C. Tavares
spellingShingle	Paulo Afonso Mei Francisco Saulo S.C. Tavares Two Multiple Sclerosis Relapses Affecting the Left Pontine-Mesencephalic Transition and Later the Right Mid Pons, With Distinct Eye Movement Abnormalities - The Importance Of Semiology Above Medical Imaging: Case Report EMJ Radiology nternuclear ophthalmoplegia multiple sclerosis (ms) normal appearing white matter (nawm) semiology throclear nerve palsy
author_facet	Paulo Afonso Mei Francisco Saulo S.C. Tavares
author_sort	Paulo Afonso Mei
title	Two Multiple Sclerosis Relapses Affecting the Left Pontine-Mesencephalic Transition and Later the Right Mid Pons, With Distinct Eye Movement Abnormalities - The Importance Of Semiology Above Medical Imaging: Case Report
title_short	Two Multiple Sclerosis Relapses Affecting the Left Pontine-Mesencephalic Transition and Later the Right Mid Pons, With Distinct Eye Movement Abnormalities - The Importance Of Semiology Above Medical Imaging: Case Report
title_full	Two Multiple Sclerosis Relapses Affecting the Left Pontine-Mesencephalic Transition and Later the Right Mid Pons, With Distinct Eye Movement Abnormalities - The Importance Of Semiology Above Medical Imaging: Case Report
title_fullStr	Two Multiple Sclerosis Relapses Affecting the Left Pontine-Mesencephalic Transition and Later the Right Mid Pons, With Distinct Eye Movement Abnormalities - The Importance Of Semiology Above Medical Imaging: Case Report
title_full_unstemmed	Two Multiple Sclerosis Relapses Affecting the Left Pontine-Mesencephalic Transition and Later the Right Mid Pons, With Distinct Eye Movement Abnormalities - The Importance Of Semiology Above Medical Imaging: Case Report
title_sort	two multiple sclerosis relapses affecting the left pontine-mesencephalic transition and later the right mid pons, with distinct eye movement abnormalities - the importance of semiology above medical imaging: case report
publisher	European Medical Journal
series	EMJ Radiology
issn	2633-9978
publishDate	2020-09-01
description	The authors report the case of a 22-year-old female patient who presented with two distinct relapses of multiple sclerosis. The first was a lesion in the dorsal paramedian pontine area to the left, and the second, not visible in the MRI but presumably affecting the right medial longitudinal fasciculus, in the pons. In both cases, the semiology was unquestionable and compatible to the proposed areas of demyelination, with the patient fully recovering her eye movements after pulses of methylprednisolone.
topic	nternuclear ophthalmoplegia multiple sclerosis (ms) normal appearing white matter (nawm) semiology throclear nerve palsy
url	https://www.emjreviews.com/radiology/article/two-multiple-sclerosis-relapses-affecting-the-left-pontine-mesencephalic-transition-and-later-the-right-mid-pons-with-distinct-eye-movement-abnormalities-the-importance-of-semiology-above-medical-i/
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Two Multiple Sclerosis Relapses Affecting the Left Pontine-Mesencephalic Transition and Later the Right Mid Pons, With Distinct Eye Movement Abnormalities - The Importance Of Semiology Above Medical Imaging: Case Report

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