Solitary sclerosis presenting as isolated spontaneous paroxysmal dysarthria
| Autor: | Thomas Shoemaker, Noah Gorelick, Yuanxuan Xia, Justin C. McArthur |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Pediatrics
medicine.medical_specialty congenital hereditary and neonatal diseases and abnormalities Ataxia health care facilities manpower and services education Case Report Paroxysmal dysarthria and ataxia lcsh:RC346-429 Multiple sclerosis Lesion 03 medical and health sciences Dysarthria 0302 clinical medicine Vertigo health services administration Spontaneous paroxysmal dysarthria Medicine Rare syndrome 030212 general & internal medicine lcsh:Neurology. Diseases of the nervous system biology business.industry Solitary sclerosis Healthy elderly medicine.disease biology.organism_classification Neurology Clumsiness medicine.symptom business 030217 neurology & neurosurgery |
| Zdroj: | eNeurologicalSci, Vol 14, Iss, Pp 98-100 (2019) eNeurologicalSci |
| ISSN: | 2405-6502 |
| Popis: | Paroxysmal dysarthria and ataxia (PDA) is a rare syndrome characterized by brief, stereotyped episodes of slurred speech, clumsiness with extremities, or vertigo. It is usually observed in young patients suffering from multiple sclerosis with numerous lesions. PDA is challenging to identify in those presenting with atypical patterns. Here, a non-ataxic variant of PDA in an otherwise neurologically healthy elderly man is presented who had a single midbrain lesion. A broad diagnostic workup illustrates the challenges of identifying PDA. Teaching points emphasize the significance of the midbrain lesion and response to anti-epileptic medication. Highlights • Paroxysmal Dysarthria and Ataxia (PDA) is a very rare MS-related paroxysm • Case of a non-ataxic PDA variant in an otherwise neurologically healthy elderly man • Video clearly shows the symptoms of this Spontaneous Paroxysmal Dysarthria • Solitary midbrain lesions and responsiveness to anti-epileptics are key features |
| Databáze: | OpenAIRE |
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