Teaching NeuroImages: Primary Sjogren syndrome presenting as isolated lesion of medulla oblongata

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Teaching NeuroImages: Primary Sjögren syndrome presenting as isolated lesion of medulla oblongata.

A 21-year-old woman presented with 2 weeks of vomiting and a brief episode of sudden loss of consciousness. On examination, she had slurred speech and dysphagia. Fluid-attenuated inversion recovery and T2-weighted MRI of the brain revealed whitematter hyperintensity within the medulla oblongata (figure 1, A–C). Biopsy of the salivary gland was diagnostic of Sjögren syndrome (SS) (figure 2). Aft...

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ژورنال

عنوان ژورنال: Neurology

سال: 2014

ISSN: 0028-3878,1526-632X

DOI: 10.1212/wnl.0000000000001105