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Case Reports
. 2016 Jan 23;8(1):27-33.
doi: 10.1159/000443681. eCollection 2016 Jan-Apr.

Peripheral (Seventh) Nerve Palsy and Multiple Sclerosis: A Diagnostic Dilemma - A Case Report

Christian Saleh  1 , Olga Patsi  1 , Frederic Mataigne  2 , Stefan Beyenburg  1
Affiliations
Case Reports

Peripheral (Seventh) Nerve Palsy and Multiple Sclerosis: A Diagnostic Dilemma - A Case Report

Christian Saleh et al. Case Rep Neurol. .

Abstract

During the last decades, only a few cases on the association between peripheral demyelinating diseases and multiple sclerosis (MS) have been reported. We describe the case of a young man who was initially diagnosed with Bell's palsy, and only after performing a brain MRI was the diagnosis of MS made. We review the literature and discuss some pitfalls which may lead to missing the diagnosis of MS.

Keywords: Bell's palsy; Isolated idiopathic peripheral facial palsy; Multiple sclerosis; Peripheral demyelinating disease; Seventh nerve palsy.

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Figures

Fig. 1
Fig. 1
MRI imaging showing two right-sided periventricular lesions.
Fig. 2
Fig. 2
MRI imaging showing one left-sided periventricular lesion.
Fig. 3
Fig. 3
MRI of the spine with a tiny right-sided pontine lesion (yellow arrow).
See this image and copyright information in PMC

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