Paediatric Multiple Sclerosis - A rare sub-group: Case Report evaluating the role of Visual Evoked Potentials in silent Demyelinating lesion
Journal Title: International Journal of Medical and Health Sciences - Year 2014, Vol 3, Issue 4
Abstract
We aim to report a case with a rare presentation of multiple sclerosis(MS) as paediatric onset multiple sclerosis and also to evaluate the role of visual evoked potentials in comprehending the diagnosis. A 15-year-old boy presented with weakness in both the lower limbs since three years with a history of episodes of muscle cramps, difficulty in walking, climbing and easy fatigability in a relapsing manner with no family history. Clinical examination was performed and investigations were done including magnetic resonance imaging and visual evoked potentials. Clinical features and paraclinical studies suggested the diagnosis as multiple sclerosis, with silent optic nerve involvement diagnosed by visual evoked potentials. Hence, the diagnostic criteria for adult MS and majority of paediatric MS which rely upon clinical and MRI features, must involve visual evoked potential, a cheaper, easy and sensitive tool in elaborating and confirming the diagnosis even in the absence of visual symptoms.
Authors and Affiliations
Sangeeta Gupta, Gaurav Gupta, Amit Mittal
Keywords
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