Clinical Presentation: Case History # 1

Case History 1 Ms. Two months ago the patient was working very hard and was under a lot of stress. She also had several bad falls. Then, the patient abruptly developed a right hemisensory deficit after several days of work.

Swallow appears to be intact. Spinal tap was also done which revealed the presence of oligoclonal bands in CSF. Tongue movements are slowed, but tongue power appears to be intact.

Multiple Sclerosis with laboratory support. Motor examination reveals relatively normal strength in the upper extremities throughout. Cranial Nerve II – disks are sharp and of multiple sclerosis case study questions color. The patient takes 7. Cae Weber test reveals greater conductance to the right. The patient has mild vibratory sense multiple sclerosis case study questions in the distal lower extremities. Bilateral caae toe sign are present. Ambulation index is 7. Her visual acuity also seemed to change periodically during several years.

Sensory exam reveals paresthesia on the right to touch and decreased pin sensation on the right diffusely. Funduscopic examination is normal. Visual evoked response testing was abnormal with slowed conduction in optic nerves. She also had a tubal ligation. She became incontinent sclerosus now has to wear a pad during the day.


She also complains of impaired short-term memory and irritability. The patient has a tendency to aspirate multiple sclerosis case study questions and also solids. The patient relates that for many years she had noticed some significant changes in neurologic functions, particularly heat intolerance precipitating a stumbling gait and a tendency to fall.

Multiple Sclerosis: Clinical Presentation- Case 1

The MRI scan was performed at that time and revealed a multifocal white matter disease – areas of increased T2 signal in both cerebral hemispheres. Rinne’s test reveals air greater than bone bilaterally. Today, the patient has multiple problems related to her disease: She has decreased finger dexterity and weakness of the hands bilaterally. Remainder of the cranial nerve exam is normal except for decreased hearing on the left, and numbness in the right face, which extends down into the entire right multiple sclerosis case study questions.

She multiple sclerosis case study questions sick with a flu and her neurologic condition worsened. Since that time she had noticed arthralgia on the right and subsequently on the left side of her body.


C is a 35 year old white female. However, rapid alternating movements are decreased in both upper extremities and the patient has dysdiadochokinesia in the left hand.

At that time, she could not hold objects in her hands, had significant tremors and severe exhaustion. She came to Neurology Clinic for evaluation of her long-term neurologic complaints.