Multiple sclerosis with early childhood onset: a case report

A 2 year old boy was admitted owing to a subacute episode of ataxic gait and hearing deficit. Computerized tomography (CT) was normal and cerebrospinal fluid (CSF) analysis revealed gamma globul.ns level of 15.4% (normal 7 to 14%). There was spontaneous remission after 7 months. At 5 years of age th...

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Main Authors: Maria Isabel Campos Vergani, Rubens Reimão, Ana Maria Camara Silva, Mauro Muskat, Sandro Espósito, Aron Diament
Format: Article
Language:English
Published: Thieme Revinter Publicações 1988-06-01
Series:Arquivos de Neuro-Psiquiatria
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X1988000200012&lng=en&tlng=en
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author Maria Isabel Campos Vergani
Rubens Reimão
Ana Maria Camara Silva
Mauro Muskat
Sandro Espósito
Aron Diament
author_facet Maria Isabel Campos Vergani
Rubens Reimão
Ana Maria Camara Silva
Mauro Muskat
Sandro Espósito
Aron Diament
author_sort Maria Isabel Campos Vergani
collection DOAJ
description A 2 year old boy was admitted owing to a subacute episode of ataxic gait and hearing deficit. Computerized tomography (CT) was normal and cerebrospinal fluid (CSF) analysis revealed gamma globul.ns level of 15.4% (normal 7 to 14%). There was spontaneous remission after 7 months. At 5 years of age the boy incurred a second episode with predominantly right apendicular ataxia and tonic gaze deviation to the right side. CT showed a low-density lesion in the white matter adjacent to the right frontal horn. Visual and auditory evoked potentials were abnormal. CSF revealed a mild increase in gamma globulins level of 14.5% with an abnormal T lymphocyte subsets study. The combination of visual, cerebellar, brain stem and paraventricular lesions with clear remissions and exacerbations, supported by CT, CSF and evoked potentials findings suggests the diagnosis of multiple sclerosis even at this early age.
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publishDate 1988-06-01
publisher Thieme Revinter Publicações
record_format Article
series Arquivos de Neuro-Psiquiatria
spelling doaj-art-8e7c4ae6439c4675aaae5df3db9cce9c2025-08-20T03:07:17ZengThieme Revinter PublicaçõesArquivos de Neuro-Psiquiatria1678-42271988-06-0146219519710.1590/S0004-282X1988000200012S0004-282X1988000200012Multiple sclerosis with early childhood onset: a case reportMaria Isabel Campos Vergani0Rubens Reimão1Ana Maria Camara Silva2Mauro Muskat3Sandro Espósito4Aron Diament5Universidade de São PauloUniversidade de São PauloUniversidade de São PauloUniversidade de São PauloUniversidade de São PauloUniversidade de São PauloA 2 year old boy was admitted owing to a subacute episode of ataxic gait and hearing deficit. Computerized tomography (CT) was normal and cerebrospinal fluid (CSF) analysis revealed gamma globul.ns level of 15.4% (normal 7 to 14%). There was spontaneous remission after 7 months. At 5 years of age the boy incurred a second episode with predominantly right apendicular ataxia and tonic gaze deviation to the right side. CT showed a low-density lesion in the white matter adjacent to the right frontal horn. Visual and auditory evoked potentials were abnormal. CSF revealed a mild increase in gamma globulins level of 14.5% with an abnormal T lymphocyte subsets study. The combination of visual, cerebellar, brain stem and paraventricular lesions with clear remissions and exacerbations, supported by CT, CSF and evoked potentials findings suggests the diagnosis of multiple sclerosis even at this early age.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X1988000200012&lng=en&tlng=en
spellingShingle Maria Isabel Campos Vergani
Rubens Reimão
Ana Maria Camara Silva
Mauro Muskat
Sandro Espósito
Aron Diament
Multiple sclerosis with early childhood onset: a case report
Arquivos de Neuro-Psiquiatria
title Multiple sclerosis with early childhood onset: a case report
title_full Multiple sclerosis with early childhood onset: a case report
title_fullStr Multiple sclerosis with early childhood onset: a case report
title_full_unstemmed Multiple sclerosis with early childhood onset: a case report
title_short Multiple sclerosis with early childhood onset: a case report
title_sort multiple sclerosis with early childhood onset a case report
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X1988000200012&lng=en&tlng=en
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