Hypothermia in Multiple Sclerosis: Beyond the Hypothalamus? A Case Report and Review of the Literature

Hypothermia is a rare and poorly understood complication of Multiple Sclerosis (MS). We report on a 66-year-old patient currently with Secondary Progressive MS (SP-MS) who developed unexplained hypothermia associated with multiple hospitalisations and we review the literature on this topic. In our c...

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Main Authors: Francesco Berti, Zeeshan Arif, Cris Constantinescu, Bruno Gran
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Neurological Medicine
Online Access:http://dx.doi.org/10.1155/2018/2768493
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author Francesco Berti
Zeeshan Arif
Cris Constantinescu
Bruno Gran
author_facet Francesco Berti
Zeeshan Arif
Cris Constantinescu
Bruno Gran
author_sort Francesco Berti
collection DOAJ
description Hypothermia is a rare and poorly understood complication of Multiple Sclerosis (MS). We report on a 66-year-old patient currently with Secondary Progressive MS (SP-MS) who developed unexplained hypothermia associated with multiple hospitalisations and we review the literature on this topic. In our case, magnetic resonance imaging (MRI) of the brain failed to highlight hypothalamic disease, but spinal MRI identified a number of spinal cord lesions. Given the incidence and clinical significance of spinal involvement in MS and the hypothermic disturbances observed in high Spinal Cord Injury (SCI), we hypothesise that upper spinal cord pathology, along with hypothalamic and brainstem dysfunctions, can contribute to hypothermia.
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publishDate 2018-01-01
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series Case Reports in Neurological Medicine
spelling doaj-art-0a7a27da1888458a95e5beeaeff0ccea2025-08-20T02:03:08ZengWileyCase Reports in Neurological Medicine2090-66682090-66762018-01-01201810.1155/2018/27684932768493Hypothermia in Multiple Sclerosis: Beyond the Hypothalamus? A Case Report and Review of the LiteratureFrancesco Berti0Zeeshan Arif1Cris Constantinescu2Bruno Gran3Division of Clinical Neuroscience, University of Nottingham School of Medicine, Nottingham, UKDivision of Clinical Neuroscience, University of Nottingham School of Medicine, Nottingham, UKDivision of Clinical Neuroscience, University of Nottingham School of Medicine, Nottingham, UKDepartment of Neurology, Nottingham University Hospitals NHS Trust, Nottingham, UKHypothermia is a rare and poorly understood complication of Multiple Sclerosis (MS). We report on a 66-year-old patient currently with Secondary Progressive MS (SP-MS) who developed unexplained hypothermia associated with multiple hospitalisations and we review the literature on this topic. In our case, magnetic resonance imaging (MRI) of the brain failed to highlight hypothalamic disease, but spinal MRI identified a number of spinal cord lesions. Given the incidence and clinical significance of spinal involvement in MS and the hypothermic disturbances observed in high Spinal Cord Injury (SCI), we hypothesise that upper spinal cord pathology, along with hypothalamic and brainstem dysfunctions, can contribute to hypothermia.http://dx.doi.org/10.1155/2018/2768493
spellingShingle Francesco Berti
Zeeshan Arif
Cris Constantinescu
Bruno Gran
Hypothermia in Multiple Sclerosis: Beyond the Hypothalamus? A Case Report and Review of the Literature
Case Reports in Neurological Medicine
title Hypothermia in Multiple Sclerosis: Beyond the Hypothalamus? A Case Report and Review of the Literature
title_full Hypothermia in Multiple Sclerosis: Beyond the Hypothalamus? A Case Report and Review of the Literature
title_fullStr Hypothermia in Multiple Sclerosis: Beyond the Hypothalamus? A Case Report and Review of the Literature
title_full_unstemmed Hypothermia in Multiple Sclerosis: Beyond the Hypothalamus? A Case Report and Review of the Literature
title_short Hypothermia in Multiple Sclerosis: Beyond the Hypothalamus? A Case Report and Review of the Literature
title_sort hypothermia in multiple sclerosis beyond the hypothalamus a case report and review of the literature
url http://dx.doi.org/10.1155/2018/2768493
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