362873

Multiple Sclerosis First Presentation in a Child: Diffuse Motor Demyelinating Polyradiculopathy: Case Report

Article

Last updated: 04 Jan 2025

Subjects

-

Tags

-

Abstract

Multiple sclerosis is a mostly debilitating chronic demyelinating immune disease of the central nervous system that compromises quality of life within 10-15 years of onset. The clinical picture spectrum varies widely depending on the underlying pathogenesis of demyelination; the macrophage induced demyelination, antibody mediated against myelin proteins, T cell- mediated small vessel vasculitis and subsequent ischemia or cytokine mediated oligodendrocyte death. Axonal injury is limited to 5% of cases. Peripheral nerve demyelination is an exceptionally rare association of multiple sclerosis.  We report a 9-year-old who developed bilateral lower limb weakness and loss of truncal support. Electromyography revealed demyelinating diffuse motor polyradiculopathy. He was diagnosed as Guillain-Barré syndrome and received intravenous immunoglobulins with no response. Magnetic resonance imaging of the brain and cervical spine revealed multiple cerebral and cerebellar foci of abnormal signal representing demyelination. He was diagnosed as multiple sclerosis and had a full recovery within 3 weeks from start of management by methylprednisolone. Peripheral demyelinating neuropathy may be the initial presentation of multiple sclerosis in a child.  

DOI

10.21608/cupsj.2024.295970.1132

Keywords

Multiple sclerosis, bilateral lower limb weakness, peripheral nerve demyelinating diffuse motor polyradiculopathy

Authors

First Name

Walaa

Last Name

Elnaggar

MiddleName

-

Affiliation

Department of Pediatrics, Faculty of Medicine, Cairo University, Cairo, Egypt

Email

walaa_elnaggar@yahoo.com

City

cairo

Orcid

0000-0003-1590-7695

First Name

Magd

Last Name

Kotb

MiddleName

Ahmed

Affiliation

Department of Pediatrics, Faculty of Medicine, Cairo University, Cairo, Egypt

Email

magdkotb@kasralainy.edu.eg

City

cairo

Orcid

0000-0003-2118-3793

Volume

4

Article Issue

2

Related Issue

48747

Issue Date

2024-07-01

Receive Date

2024-06-07

Publish Date

2024-07-01

Page Start

111

Page End

113

Print ISSN

2805-279X

Online ISSN

2682-3985

Link

https://cupsj.journals.ekb.eg/article_362873.html

Detail API

https://cupsj.journals.ekb.eg/service?article_code=362873

Order

362,873

Type

Case Report

Type Code

1,279

Publication Type

Journal

Publication Title

Pediatric Sciences Journal

Publication Link

https://cupsj.journals.ekb.eg/

MainTitle

Multiple Sclerosis First Presentation in a Child: Diffuse Motor Demyelinating Polyradiculopathy: Case Report

Details

Type

Article

Created At

25 Dec 2024