A young woman reports 3 months of worsening vision, noting blurred and diplopic abnormalities. She also complains of left leg and right arm weakness. Examination reveals extraocular palsies, poor visual acuity, nystagmus, left leg and right arm strength deficits and a positive Romberg sign. You suspect a central inflammatory demyelinating process. what is the most likely diagnosis?

Respuesta :

Pt. will most likely be a Caucasian female and CSF will show increased IgG protein and Diagnosis is made by T2 weighted MRI.

What is nystagmus and what does it indicate?

The disease known as nystagmus causes the eyes to move inexplicably and repeatedly. These motions can impair balance and coordination and frequently cause eyesight and depth perception to decrease. These uncontrollable eye movements can move up and down, in a circle, or from side to side.

What causes nystagmus primarily?

Diseases that affect the inner ear balancing processes or the back of the brain frequently cause eye movements (brainstem or cerebellum). Pendular nystagmus can be caused by congenital issues as well as neurological conditions like multiple sclerosis.

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