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Washington University Experience | MYELIN (IMMUNE-MEDIATED) | MS - Cerebral Hemispheres | 11A0 Case 11 History
Case 11 History ---- The patient was a 41 year old woman with a past medical history significant for multiple sclerosis, type 1 diabetes mellitus, hypothyroidism, hypertension, and hypercholesterolemia. The patient was diagnosed with multiple sclerosis in August of 1998. At that time, she presented with a one-year duration of loss of vision in the right eye. The patient was given a diagnosis of optic neuritis and it was felt to be secondary to multiple sclerosis and since that time she had been on betaseron. The patient had stated that she had had cramping and pain localized to her upper right lower extremity also associated with decreased range of motion of that extremity. Per account of the patient, her weakness was so profound that she often had to use her arms to assist in elevating her right lower extremity. In January of 2007, the patient had been using a walker and also complained of sensation of numbness and tingling localized to the right biceps, average frequency of two to three times per day, worse in the evening and made worse with activity. Shortly after experiencing weakness in her right lower extremity, the patient experienced blurriness of vision in the left eye. Her most recent brain MRI taken in 6/2010 showed stable appearance of multiple white matter hyper intensities and volume loss consistent with multiple sclerosis. There was no enhancing focus to suggest an active lesion. Per physician’s report, the patient had been doing very well and her multiple sclerosis was stable. In the early morning of 3/4/2013 the patient had trouble with her insulin pump and had woken up her mother for help around 2:30AM. When the mother came back around 9AM to check on her daughter, she found her daughter dead. Up to her death, the patient did not display any signs or symptoms of having any type of infection and she was reportedly coping very well.
