Acute bilateral hypotropia and esotropia complex as first manifestation of multiple sclerosis: a case report

A 21-year-old Japanese woman presented with sudden eye movement disorders. An ophthalmic examination revealed bilateral hypotropia and esotropia complex. Brain magnetic resonance imaging revealed abnormal signals in the posterior and medial part of the lower pontine tegmentum (including periventricu...

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Published in:Nagoya journal of medical science 2023-11, Vol.85 (4), p.822-827
Main Authors: Senda, Joe, Hirao, Ryota, Maeda, Kentaro, Amakusa, Yoshinobu, Hirunagi, Tomoki, Katsuno, Masahisa, Kawaguchi, Katsuhiro
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container_issue 4
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container_title Nagoya journal of medical science
container_volume 85
creator Senda, Joe
Hirao, Ryota
Maeda, Kentaro
Amakusa, Yoshinobu
Hirunagi, Tomoki
Katsuno, Masahisa
Kawaguchi, Katsuhiro
description A 21-year-old Japanese woman presented with sudden eye movement disorders. An ophthalmic examination revealed bilateral hypotropia and esotropia complex. Brain magnetic resonance imaging revealed abnormal signals in the posterior and medial part of the lower pontine tegmentum (including periventricular and subcortical white matter) that were suggestive of demyelination. A cerebrospinal fluid test was positive for oligoclonal bands. She was subsequently diagnosed with multiple sclerosis and was administered intravenous methylprednisolone and oral dimethyl fumarate, with complete recovery from hypotropia and esotropia after two months. Bilateral hypotropia and esotropia are important clinical signs for the accurate diagnosis of multiple sclerosis.
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title Acute bilateral hypotropia and esotropia complex as first manifestation of multiple sclerosis: a case report
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