In terms of the location of MS lesions in the brain, brainstem, cerebellum, and the pathways affected, ocular movement abnormalities can demonstrate diverse clinical presentations. Impairment of eye movements is a common feature of MS and up to three quarter of patients with this disease experience eye movement abnormalities sometimes during their disease course. with some being more common and others less. Multiple sclerosis (MS), known as a chronic inflammatory disease primarily involving the central nervous system, can be presented with various clinical manifestations such as sensory problems, visual disturbances, weakness, gaze abnormalities, etc. Although an extensive workup should also be done to rule out possible mimickers. Ocular movement abnormalities are a commonly encountered manifestation in patients with multiple sclerosis, however, bilateral gaze palsy is an exceptionally rare sign and should guide the physician to contemplate for anticipated lesions in the pons, and suspect MS, especially in childbearing-aged women. The patient was diagnosed with multiple sclerosis with respect to clinical and imaging findings and managed. Magnetic resonance imaging of the patient indicated bilateral hyperintensities in the pons at the level of the paramedian pontine reticular formation. Case presentationĪ 16-year-old girl with bilateral horizontal gaze palsy was referred to the neurology clinic. However, bilateral lesions in pontine gaze centers are exceptionally rare. Centers for gaze control are located in the pons primarily therefore, lesions involving these centers can be presented with abnormalities in gaze. Ocular movement disturbances are a typical presentation in MS patients where lesions affect the complex and interconnected pathways involved in eye motion. Demyelinating central nervous system diseases include several disorders that multiple sclerosis (MS) is identified as the most common among them.
0 kommentar(er)
