k********n 发帖数: 756 | 1 Male, 40s, no PMH, sub-acute onset, VS WNL
hearing loss
encephalopathy
blurry vision
MRI: multi-focal contrast enhancing/demyelinating changes, corpus callosum involved.
Hint: not MS |
s******t 发帖数: 579 | 2 age? PMH? SH? SxH? VS?
Progressive multifocal leukoencephalopathy? Just a wild guess. |
c*******s 发帖数: 399 | 3 sex , age, medical history?
too little info
【在 k********n 的大作中提到】 : Male, 40s, no PMH, sub-acute onset, VS WNL : hearing loss : encephalopathy : blurry vision : MRI: multi-focal contrast enhancing/demyelinating changes, corpus callosum involved. : Hint: not MS
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l********z 发帖数: 810 | |
V**y 发帖数: 788 | 5 外行,瞎猜一个。。
Progressive multifocal leukoencephalopathy (PML)
involved.
【在 k********n 的大作中提到】 : Male, 40s, no PMH, sub-acute onset, VS WNL : hearing loss : encephalopathy : blurry vision : MRI: multi-focal contrast enhancing/demyelinating changes, corpus callosum involved. : Hint: not MS
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k********n 发帖数: 756 | 6 Susac's syndrome. One of the MS mimic.
The best article to review if you are going to do neurology: expand the
concept "no better explanation" |
y******a 发帖数: 590 | 7 devic's disease? just a guess |
l********z 发帖数: 810 | 8 Thanks, there are many MS variants, but I guess Susac's syndrome is not a
variants of MS. I will study it. I appreciate it.
【在 k********n 的大作中提到】 : Susac's syndrome. One of the MS mimic. : The best article to review if you are going to do neurology: expand the : concept "no better explanation"
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T****t 发帖数: 616 | 9 I do not know the answer, but I remembered PML does not have
multi-focal contrast enhancing/demyelinating changes
【在 V**y 的大作中提到】 : 外行,瞎猜一个。。 : Progressive multifocal leukoencephalopathy (PML) : : involved.
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a********a 发帖数: 57 | 10 Susac Syndrome. Triad of encephalopathy, hearing loss and microangiopathy of
the retina |