Isolated palatal weakness without optic neuritis as the presenting manifestation of multiple sclerosis and its diagnostic dilemma with acute disseminated encephalomyelitis in a young boy

We present a case of a young boy who at initial presentation was diagnosed as acute disseminated encephalomyelitis (ADEM) but subsequently on follow-up was diagnosed as multiple sclerosis (MS). Differentiating ADEM from MS in their first presentation can be tricky as the features may not be typical...

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Main Authors:	Virti D Shah, Sumeet Prakash Mirgh, Nirmal Surya
Format:	Article
Language:	English
Published:	Wolters Kluwer Medknow Publications 2017-04-01
Series:	Avicenna Journal of Medicine
Subjects:	acute disseminated encephalomyelitis magnetic resonance imaging multiple sclerosis steroids
Online Access:	http://www.thieme-connect.de/DOI/DOI?10.4103/ajm.AJM_91_16

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spelling	doaj-468fc0389ce84c688a30f8306a1b728d2021-08-09T23:54:53ZengWolters Kluwer Medknow PublicationsAvicenna Journal of Medicine2231-07702249-44642017-04-010702717410.4103/ajm.AJM_91_16Isolated palatal weakness without optic neuritis as the presenting manifestation of multiple sclerosis and its diagnostic dilemma with acute disseminated encephalomyelitis in a young boyVirti D Shah0Sumeet Prakash Mirgh1Nirmal Surya2Department of Neurology, Sir Ganga Ram Hospital, New Delhi, IndiaDepartment of Hematology, All Institute of Medical Sciences, New Delhi, IndiaDepartment of Neurology, Bombay Hospital Institute of Medical Sciences, Mumbai, Maharashtra, IndiaWe present a case of a young boy who at initial presentation was diagnosed as acute disseminated encephalomyelitis (ADEM) but subsequently on follow-up was diagnosed as multiple sclerosis (MS). Differentiating ADEM from MS in their first presentation can be tricky as the features may not be typical of anyone. The importance lies in the close follow-up of these patients.http://www.thieme-connect.de/DOI/DOI?10.4103/ajm.AJM_91_16acute disseminated encephalomyelitismagnetic resonance imagingmultiple sclerosissteroids
collection	DOAJ
language	English
format	Article
sources	DOAJ
author	Virti D Shah Sumeet Prakash Mirgh Nirmal Surya
spellingShingle	Virti D Shah Sumeet Prakash Mirgh Nirmal Surya Isolated palatal weakness without optic neuritis as the presenting manifestation of multiple sclerosis and its diagnostic dilemma with acute disseminated encephalomyelitis in a young boy Avicenna Journal of Medicine acute disseminated encephalomyelitis magnetic resonance imaging multiple sclerosis steroids
author_facet	Virti D Shah Sumeet Prakash Mirgh Nirmal Surya
author_sort	Virti D Shah
title	Isolated palatal weakness without optic neuritis as the presenting manifestation of multiple sclerosis and its diagnostic dilemma with acute disseminated encephalomyelitis in a young boy
title_short	Isolated palatal weakness without optic neuritis as the presenting manifestation of multiple sclerosis and its diagnostic dilemma with acute disseminated encephalomyelitis in a young boy
title_full	Isolated palatal weakness without optic neuritis as the presenting manifestation of multiple sclerosis and its diagnostic dilemma with acute disseminated encephalomyelitis in a young boy
title_fullStr	Isolated palatal weakness without optic neuritis as the presenting manifestation of multiple sclerosis and its diagnostic dilemma with acute disseminated encephalomyelitis in a young boy
title_full_unstemmed	Isolated palatal weakness without optic neuritis as the presenting manifestation of multiple sclerosis and its diagnostic dilemma with acute disseminated encephalomyelitis in a young boy
title_sort	isolated palatal weakness without optic neuritis as the presenting manifestation of multiple sclerosis and its diagnostic dilemma with acute disseminated encephalomyelitis in a young boy
publisher	Wolters Kluwer Medknow Publications
series	Avicenna Journal of Medicine
issn	2231-0770 2249-4464
publishDate	2017-04-01
description	We present a case of a young boy who at initial presentation was diagnosed as acute disseminated encephalomyelitis (ADEM) but subsequently on follow-up was diagnosed as multiple sclerosis (MS). Differentiating ADEM from MS in their first presentation can be tricky as the features may not be typical of anyone. The importance lies in the close follow-up of these patients.
topic	acute disseminated encephalomyelitis magnetic resonance imaging multiple sclerosis steroids
url	http://www.thieme-connect.de/DOI/DOI?10.4103/ajm.AJM_91_16
work_keys_str_mv	AT virtidshah isolatedpalatalweaknesswithoutopticneuritisasthepresentingmanifestationofmultiplesclerosisanditsdiagnosticdilemmawithacutedisseminatedencephalomyelitisinayoungboy AT sumeetprakashmirgh isolatedpalatalweaknesswithoutopticneuritisasthepresentingmanifestationofmultiplesclerosisanditsdiagnosticdilemmawithacutedisseminatedencephalomyelitisinayoungboy AT nirmalsurya isolatedpalatalweaknesswithoutopticneuritisasthepresentingmanifestationofmultiplesclerosisanditsdiagnosticdilemmawithacutedisseminatedencephalomyelitisinayoungboy
_version_	1721213088273793024

Isolated palatal weakness without optic neuritis as the presenting manifestation of multiple sclerosis and its diagnostic dilemma with acute disseminated encephalomyelitis in a young boy

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