A 17-Year-Old Girl With Acute Onset of Hemiparesis

被引：4

作者：

Morrissey, Michael ^{[1
]}

Ciorciari, Anthony J. ^{[1
]}

Cunningham, Sandra J. ^{[1
]}

机构：

[1] Jacobi Med Ctr, 1B25,Bldg 6,1400 Pelham Pkwy, Bronx, NY 10461 USA

来源：

PEDIATRIC EMERGENCY CARE | 2016年 / 32卷 / 06期

关键词：

hemiparesis; multiple sclerosis; Balo concentric sclerosis; motor weakness; BALOS CONCENTRIC SCLEROSIS; MULTIPLE-SCLEROSIS; UNITED-STATES; PREVALENCE;

D O I：

10.1097/PEC.0000000000000434

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

The presentation of acute-onset hemiparesis in a teenager can be challenging and offers a wide differential diagnosis. We discuss the approach to the patient (which should begin with thorough history taking and physical examination) and advanced imaging as directed by the patient's signs and symptoms. We report the case of an otherwise well 17-year-old girl who presented to the pediatric emergency department with a 2-day history of left-sided weakness and difficulty ambulating. Her eventual diagnosis of Balo concentric sclerosis, a rare form of multiple sclerosis, is discussed.

引用

页码：388 / 389

页数：2

共 14 条

[1] Successful pregnancy of a patient with Balo's concentric sclerosis [J].

Airas, L ;

Kurki, T ;

Erjanti, H ;

Marttila, RJ .

MULTIPLE SCLEROSIS JOURNAL, 2005, 11 (03) :346-348

[2] REVISED ESTIMATE OF THE PREVALENCE OF MULTIPLE-SCLEROSIS IN THE UNITED-STATES [J].

ANDERSON, DW ;

ELLENBERG, JH ;

LEVENTHAL, CM ;

REINGOLD, SC ;

RODRIGUEZ, M ;

SILBERBERG, DH .

ANNALS OF NEUROLOGY, 1992, 31 (03) :333-336

[3] THE INCIDENCE AND PREVALENCE OF REPORTED MULTIPLE-SCLEROSIS [J].

BAUM, HM ;

ROTHSCHILD, BB .

ANNALS OF NEUROLOGY, 1981, 10 (05) :420-428

[4]

Caracciolo JT, 2001, AM J NEURORADIOL, V22, P292

[5]

Fishman MA, 2006, OSKIS PEDIAT PRINCIP, P2240

[6] Infectious causes of multiple sclerosis [J].

Giovannoni, Gavin ;

Cutter, Gary R. .

LANCET NEUROLOGY, 2006, 5 (10) :887-889

[7] BALO CONCENTRIC SCLEROSIS FOLLOWED BY MRI AND POSITRON EMISSION TOMOGRAPHY [J].

HANEMANN, CO ;

KLEINSCHMIDT, A ;

REIFENBERGER, G ;

FREUND, HJ ;

SEITZ, RJ .

NEURORADIOLOGY, 1993, 35 (08) :578-580

[8]

Karaarslan E, 2001, AM J NEURORADIOL, V22, P1362

[9] Vitamin D intake and incidence of multiple sclerosis [J].

Munger, KL ;

Zhang, SM ;

O'Reilly, E ;

Hernán, MA ;

Olek, MJ ;

Willett, WC ;

Ascherio, A .

NEUROLOGY, 2004, 62 (01) :60-65

[10] Prevalence estimates for MS in the United States and evidence of an increasing trend for women [J].

Noonan, CW ;

Kathman, SJ ;

White, MC .

NEUROLOGY, 2002, 58 (01) :136-138

← 1 2 →