Psychosis: a rare onset symptom of pediatric multiple sclerosis.

Neurocase

Department of Pediatrics, Division of Child Neurology, Gazi University Medical School, Ankara, Turkey.

Published: December 2021

Neuropsychiatric symptoms are common in multiple sclerosis (MS), but it is rarely associated with psychosis as the initial manifestation. Fourteen-year-old boy admitted with auditory hallucinations. His neurological examination was normal. Brain magnetic resonance imaging (MRI) showed multiple demyelinating lesions in the mesencephalon and periventricular regions. His IgG index was high and the oligoclonal band was positive. MS was diagnosed and pulsed corticosteroids were given and his psychotic symptoms regressed. After 22months, the patient presented with hemi-hypoesthesia, and repeated MRI showed new contrast enhancing lesion detected. His complaints completely resolved with pulse corticosteroid therapy. Increasing morbidity due to delay in MS treatment underlines the need to consider MS in the differential diagnosis of pediatric cases presenting with psychosis.

Download full-text PDF

Source
http://dx.doi.org/10.1080/13554794.2021.2016859DOI Listing

Publication Analysis

Top Keywords

multiple sclerosis
8
psychosis rare
4
rare onset
4
onset symptom
4
symptom pediatric
4
pediatric multiple
4
sclerosis neuropsychiatric
4
neuropsychiatric symptoms
4
symptoms common
4
common multiple
4

Similar Publications

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!