Ataxia and deafness in a young male: an unusual aetiology.

dc.contributor.authorPrakash, Aen_US
dc.contributor.authorSingh, N Pen_US
dc.contributor.authorSikdar, Sen_US
dc.contributor.authorSingh, A Ken_US
dc.contributor.authorAgarwal, S Ken_US
dc.date.accessioned2006-12-23en_US
dc.date.accessioned2009-06-03T11:40:42Z
dc.date.available2006-12-23en_US
dc.date.available2009-06-03T11:40:42Z
dc.date.issued2006-12-23en_US
dc.description.abstractWe report here a case of 18 year old male with tremors of hands, deafness, tendency to fall while walking, drowsiness and double vision of total duration 1(1/2) years. He had internuclear ophthalmoplegia, broken saccades, hypertonia and hyperreflexia of all four limbs, intention tremors, signs of gait and limb ataxia. Pupillary reactions and fundus examination were normal and signs of meningeal irritation or sensory neurological deficit were absent. MRI head and cervical spine with gadolinium enhancement revealed demyelination as evident from multiple oblong foci isointense on T1-weighted images and hyperintense on T2-weighted and fluid attenuated inversion recovery sequences in corpus callosum, sub-cortical white matter, right thalamus, pons and periaqueductal region of midbrain. Ill-defined linear hyperintense signals were observed in cervical spinal cord. No skeletal abnormality was noted in the skull or cervical spine. Oligoclonal bands were present in the cerebrospinal fluid. Brainstem auditory evoked potentials were abnormal, although visual evoked potentials were in normal range. A diagnosis of primary progressive multiple sclerosis (PPMS) was made fulfilling the revised criteria as laid down. In view of its presentation, it is a unique case of PPMS from India.en_US
dc.description.affiliationDepartment of Medicine, Maulana Azad Medical College and Lok Nayak Hospital, New Delhi - 2, India.en_US
dc.identifier.citationPrakash A, Singh NP, Sikdar S, Singh AK, Agarwal SK. Ataxia and deafness in a young male: an unusual aetiology. Neurology India. 2006 Dec; 54(4): 412-4en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/121048
dc.language.isoengen_US
dc.source.urihttps://neurologyindia.comen_US
dc.subject.meshAdolescenten_US
dc.subject.meshAtaxia --etiologyen_US
dc.subject.meshDeafness --etiologyen_US
dc.subject.meshHumansen_US
dc.subject.meshMagnetic Resonance Imagingen_US
dc.subject.meshMaleen_US
dc.subject.meshMultiple Sclerosis --complicationsen_US
dc.titleAtaxia and deafness in a young male: an unusual aetiology.en_US
dc.typeCase Reportsen_US
dc.typeJournal Articleen_US
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