Unusual primary manifestations of multiple sclerosis: A case report

Yaşar Altun; Haci Bulut; Ali Arık

doi:10.28982/josam.762595

Authors

Yaşar Altun Department of Neurology, Medical Faculty of Adıyaman University, Adıyaman, Turkey https://orcid.org/0000-0001-7013-0618
Haci Bulut Department of Radiology, Medical Faculty of Adıyaman University, Adıyaman, Turkey https://orcid.org/0000-0002-8152-2497
Ali Arık Department of Neurology, Medical Faculty of Adıyaman University, Adıyaman, Turkey https://orcid.org/0000-0002-0091-5724

DOI:

https://doi.org/10.28982/josam.762595

Keywords:

Multiple sclerosis, Facial paralysis, Cranial nerve neuropathy

Abstract

Isolated cranial nerve involvement is rarely seen in multiple sclerosis patients. A 17-year-old female patient presented with complaints of numbness in the right half of her face, difficulty in chewing with the right jaw, having the right corner of her mouth drooping to the right, and blurring in both eyes. She had loss of sensation, left central facial paralysis, and frust monoparesis in the left arm in the right trigeminal nerve dermatome. Following systemic steroid treatment, her left central facial paralysis and chewing difficulties regressed, and loss of sensation improved. As in this case, MS may present with multiple instances of cranial nerve paralysis in addition to the involvement in the extremities. The association of the fifth and seventh nerve palsy in MS is rarely seen in the literature.

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