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Case Reports
. 2017 Jul 15;9(7):e1474.
doi: 10.7759/cureus.1474.

Psychiatric Symptoms as the First Clinical Presentation of Multiple Sclerosis: A Case Report

Muhammad Aadil  1 , Aitzaz Munir  2 , Muhammad Jahanzaib Anwar  3 , Hasnain Arshad  4 , Ibrar Anjum  5 , Aniqa Faraz  6
Affiliations
Case Reports

Psychiatric Symptoms as the First Clinical Presentation of Multiple Sclerosis: A Case Report

Muhammad Aadil et al. Cureus. .

Abstract

Multiple sclerosis (MS) is an autoimmune condition which affects the axon myelination in the brain. There can be multiple ways it can present initially, but physical signs and symptoms are the most common ones. We are reporting a case of MS from Pakistan which presented with neuropsychiatric features and was offered psychiatric care, but the patient declined treatment because of stigma related to psychiatric care. Four months later when her condition worsened, further investigation showed it to be a case of MS. The purpose of this case report is that psychiatric features should be considered for differentials of MS.

Keywords: aggressive behavior; mood disorder; multiple sclerosis; neuropsychiatry.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Hyperintense lesions at T2 weighted image (T2WI) and fluid-attenuated inversion recovery (FLAIR) sequence shown by arrow.
See this image and copyright information in PMC

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