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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...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
S. Karger AG
2013
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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 |
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. |
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