Psychotic reaction as a manifestation of multiple sclerosis relapse treated with plasma exchange
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Tereza Gabelic´ • Ivan Adamec • Anamarija Mrd—en • Milan Rados، • Vesna V. Brinar • Mario Habek
- چاپ و سال / کشور: 2011
Description
We present a patient with a clinically isolated syndrome suggestive of multiple sclerosis, who developed a full-blown picture of paranoid psychosis with suicidal attempt. Four new lesions were observed on brain MRI, one in the left and one in the right temporal lobe, one subcortically in the cingulate gyrus and one centrally in the tegmentum of the midbrain. The patient was treated with plasma exchange and recovered completely. Psychosis is not so rare symptom of multiple sclerosis as previously reported, and poses a major treatment challenge. A combination of lesions at strategic locations was a presumed mechanism of psychosis in this patient.
Neurol Sci DOI 10.1007/s10072-011-0712-3 Received: 19 April 2011 / Accepted: 13 July 2011
