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Acute 'upside-down' visual inversion due to multiple sclerosis
Esra Emine Okuyucu1, Semsettin Okuyucu, Sinem Karazincir
1Department of Neurology, Faculty of Medicine, Mustafa Kemal University, Antakya (Antochia), Hatay, Turkey. esraokuyucu@yahoo.com
Summary
A rare visual disturbance, upside-down vision, was observed in a young male patient with multiple sclerosis (MS). This case highlights a potential, though uncommon, neurological symptom linked to brain lesions in MS patients.
Area of Science:
- Neuro-ophthalmology
- Neuroscience
- Radiology
Background:
- Multiple sclerosis (MS) is a chronic autoimmune disease affecting the central nervous system.
- Visual disturbances are common in MS, but 180-degree visual inversion is exceptionally rare.
- Understanding the diverse clinical manifestations of MS is crucial for timely diagnosis and management.
Observation:
- A 20-year-old male presented with a 180-degree inversion of his visual image.
- This unusual symptom was diagnosed as a manifestation of multiple sclerosis.
- Cerebral magnetic resonance imaging (MRI) revealed lesions, supporting the MS diagnosis.
Findings:
- The patient experienced a complete upside-down reversal of his visual perception.
- This visual phenomenon is not a commonly recognized sign of multiple sclerosis.
- The exact pathophysiological mechanism underlying this specific visual disturbance in MS remains unclear.
Implications:
- This case expands the spectrum of known visual symptoms associated with multiple sclerosis.
- It suggests that lesions in specific cortical areas, potentially the parieto-occipital region, may cause such visual distortions.
- Further research is needed to elucidate the precise neural pathways and mechanisms involved in MS-related visual inversion.
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