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Mood Disorder as the Presenting Manifestation of Demyelination

OBJECTIVE: To report an unusual presenting manifestation of multiple sclerosis in a teenager. CASE REPORT: We report the case of a 16-year-old male who was diagnosed with schizoaffective disorder a year prior to his neurological consultation. Neurological examination showed evidence of mild lower ex...

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Detalles Bibliográficos
Autores principales: Tapos, D., Sivaswamy, L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: S. Karger AG 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3670633/
https://www.ncbi.nlm.nih.gov/pubmed/23741225
http://dx.doi.org/10.1159/000351282
Descripción
Sumario:OBJECTIVE: To report an unusual presenting manifestation of multiple sclerosis in a teenager. CASE REPORT: We report the case of a 16-year-old male who was diagnosed with schizoaffective disorder a year prior to his neurological consultation. Neurological examination showed evidence of mild lower extremity spasticity with ataxia and dysarthria. Imaging revealed lesions suggestive of multiple sclerosis. CONCLUSION: An organic basis for psychiatric disorders is often overlooked. Children presenting with symptoms suggestive of a mood disorder, decline in cognition or psychosis deserve a detailed neurological examination and appropriate imaging if indicated, before starting them on antidepressant or neuroleptic medication.