Mood Disorder as the Presenting Manifestation of Demyelination
نویسندگان
چکیده
OBJECTIVE To report an unusual presenting manifestation of multiple sclerosis in a teenager. CASE REPORT We report the case of a 16-year-old male who was diagnosed with schizoaffective disorder a year prior to his neurological consultation. Neurological examination showed evidence of mild lower extremity spasticity with ataxia and dysarthria. Imaging revealed lesions suggestive of multiple sclerosis. CONCLUSION An organic basis for psychiatric disorders is often overlooked. Children presenting with symptoms suggestive of a mood disorder, decline in cognition or psychosis deserve a detailed neurological examination and appropriate imaging if indicated, before starting them on antidepressant or neuroleptic medication.
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