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Multiple sclerosis presenting as ataxic hemiparesis.

Mark J Gorman¹

¹Department of Neurology, Wayne State University, 4201 St. Antoine 8D UHC, Detroit, MI 48201, USA. mgorman@moose.med.wayne.edu

Journal of the Neurological Sciences

|May 9, 2002

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Multiple sclerosis rarely presents as a lacunar syndrome. This case highlights that ataxic hemiparesis, typically vascular, can be an initial sign of multiple sclerosis.

Area of Science:

Neurology
Neuroimmunology

Background:

Multiple sclerosis (MS) is a chronic inflammatory demyelinating disease of the central nervous system.
MS typically presents with diverse neurological deficits, but lacunar syndromes are uncommon initial manifestations.

Observation:

A case of multiple sclerosis is presented with an initial clinical picture of ataxic hemiparesis (AH).
This presentation was clinically indistinguishable from a typical vascular lacunar syndrome.

Findings:

The presented case demonstrates that ataxic hemiparesis can be an initial manifestation of multiple sclerosis.
This challenges the assumption that lacunar syndromes are exclusively indicative of vascular events.

Implications:

The differential diagnosis for lacunar syndromes should include multiple sclerosis.

Related Experiment Videos

Early consideration of MS in patients presenting with AH may lead to earlier diagnosis and treatment.

This underscores the importance of comprehensive diagnostic workups for seemingly straightforward neurological presentations.