Authors: Patricia H McNamara Lisa Costelloe Yvonne Langan Janice Redmond
Publish Date: 2010/11/05
Volume: 258, Issue: 4, Pages: 702-703
Abstract
A 32yearold woman presented in 2002 with a headache associated with numbness of her right arm right side of her face and left leg Examination was normal Investigations revealed prolonged visual evoked responses VER on the right and a low vitamin B12 level Cerebrospinal fluid CSF analysis and magnetic resonance imaging MRI of her brain and spine were normal She was given a diagnosis of multiple sclerosis MS and commenced on vitamin B12 replacementThree years later her case was reviewed by the neurology service She had experienced ongoing sensory disturbances urinary dysfunction and episodic visual disturbances consisting of blurred vision particularly in her right eye which would last for hours She also experienced episodes of loss of strength of her right arm and a sensation of dragging her legs Relevant past medical history included coeliac disease
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