Cranial Polyneuropathies in Multiple Sclerosis: Case Report and Literature Review

Abstract

Although cranial neuropathi es are common disorders in multiple sclerosis pati ents, multiple cranial nerve involvement is an unusual occurrence. Correlation ofclinical symptoms with magnetic resonan ce imag ing evidence ofdemyelinating central nervous system lesions can con--f irm the diagnosis. The autho rs report on the case ofa 43year-old woman who initially \Vas thought to have suff ered a brain stetn infa rct but, in f act, had developed mult iple cranial nerve functional defi cits. Treatment of multiple sclerosis remain s primarily suppo rtive in nature, with corticosteroids used for acute exacerbations and chronic progression. "Department of Ot olaryngology-Head and Nec k Surger y. Mad iga n Army Med ica l Cen ter , Taco ma. Washin gton. "Department of Oto lar yngology -Head and Ne ck Surgery , Wa lter Reed Army Medical Ce nter. Wa shington, DC.

Rare Symptoms and Attack Types in the Course of Multiple Sclerosis: A Retrospective Study in a Large Population with Multiple Sclerosis

“…Hastalık seyrinde kraniyal sinir tutulumlarının ilk atak şekli olarak ortaya çıkabileceği; ayrıca nüks kraniyal tutulumlar veya multipl kraniyal nöropati şeklinde izlenebileceği de akılda tutulmalıdır. 3,4,8 Populasyona dayalı kohort çalışmalarında, MS hastalarındaki epileptik nöbet sıklığının normal populasyona göre üç-altı kat fazla olduğu bildirilmektedir. Sıklığın ilerleyen hastalıkla korele olarak arttığı da belirtilmiştir.…”