All About Multiple Sclerosis

More MS news articles for November 2003

Acute verbal dyspraxia, a rare presentation in multiple sclerosis: a case report with MRI localization

http://www.ingenta.com/isis/searching/ExpandTOC/ingenta?issue=infobike://arn/ms/2003/00000009/00000006&index=16

Multiple Sclerosis, 1 December 2003, vol. 9, no. 6, pp. 630-632(3)
Jaffe S.L.[1]; Glabus M.F.[2]; Kelley R.E.[1]; Minagar A.[1]
[1] Department of Neurology, Louisiana State University School of Medicine - Shreveport, 1501 Kings Highway, Shreveport, LA 71130, USA [2] Department of Psychiatry, Louisiana State University School of Medicine - Shreveport, 1501 Kings Highway, Shreveport, LA 71130, USA

Cortical speech disorders rarely occur in multiple sclerosis (MS).

We report a patient with relapsing-remitting MS, who presented with acute verbal dyspraxia.

Magnetic resonance imaging (MRI) demonstrated an acute T2/Flair hyperintense, primarily white matter lesion underlying the middle third of the inferior frontal gyrus.

The verbal dyspraxia cleared beginning 48 hours after the initiation of iv dexamethasone.

Follow-up MRI demonstrated qualitative and quantitative diminution of the hyperintensity.

This is the first report of a clinically definite MS patient with acute verbal dyspraxia.

Moreover,there was a suggestive localization of verbal praxis to Brodmann areas 44/45.