Table of Contents
Washington University Experience | MYELIN (IMMUNE-MEDIATED) | MS - Brainstem & Cerebellum | 7A0 Case 7 History
Case 7 History ---- The patient was an 88 year old male with a history of multiple sclerosis who expired in October 1998. His first symptoms had started when he was 31 years old with numbness of the right hand and arm. He had weakness of the right side and was diagnosed with multiple sclerosis. He had exacerbations and remissions. He also had blindness in the right eye that resulted afterwards. Initially, he had exacerbations every spring. When he was 54, he already had ataxia with a foot drop. He had bilateral temporal optic atrophy, weakness of the left side of the face and body, diffuse hyperreflexia, clonus, and bilateral upgoing toes and decreased sensation below the hips. He also developed a chronic progressive spastic paraparesis and he was wheelchair bound in his mid 60's. He had been admitted to the hospital several times for urinary tract infections. The last documented admission was in August of 1992 when he was admitted with pneumonia. At that time, he had paraplegia with contractures of all major joints. At that time his deep tendon reflexes were described as hypoactive and he had loss of sensation in both lower extremities. There is no information available after that time except that he expired in mid-October 1998.
