TY - JOUR
T1 - Clinical Reasoning
T2 - A 6-Year-Old Girl with Right-Sided Pain and Weakness
AU - Gaudioso, Cristina M.
AU - Zolno, Rachel
AU - Wagner, Anne
AU - Mar, Soe
N1 - Funding Information:
C.M. Gaudioso is a recipient of the National Multiple Sclerosis Society Sylvia Lawry Physician Fellowship award; R. Zolno, A. Wagner, and S. Mar report no disclosures relevant to the manuscript. Go to Neurology.org/N for full disclosures.
Publisher Copyright:
© American Academy of Neurology.
PY - 2023/1/10
Y1 - 2023/1/10
N2 - We outline the case of a 6-year-old girl presenting with a 2-week course of waxing and waning neurologic symptoms, including right-sided pain, weakness, dizziness, and difficulty walking. Her examination was notable for right-sided weakness, hyperreflexia, and dysmetria. Diagnostic evaluation was significant for MRI with numerous T2 hyperintense, T1 hypointense, and T1-enhancing lesions located in the juxtacortical and periventricular regions, corpus callosum, brainstem, and spinal cord; positive CSF oligoclonal bands; negative serum aquaporin-4 immunoglobulin G (IgG) and myelin oligodendrocyte glycoprotein IgG; and positive serum Epstein-Barr viral capsid antigen IgG.
AB - We outline the case of a 6-year-old girl presenting with a 2-week course of waxing and waning neurologic symptoms, including right-sided pain, weakness, dizziness, and difficulty walking. Her examination was notable for right-sided weakness, hyperreflexia, and dysmetria. Diagnostic evaluation was significant for MRI with numerous T2 hyperintense, T1 hypointense, and T1-enhancing lesions located in the juxtacortical and periventricular regions, corpus callosum, brainstem, and spinal cord; positive CSF oligoclonal bands; negative serum aquaporin-4 immunoglobulin G (IgG) and myelin oligodendrocyte glycoprotein IgG; and positive serum Epstein-Barr viral capsid antigen IgG.
UR - http://www.scopus.com/inward/record.url?scp=85145966654&partnerID=8YFLogxK
U2 - 10.1212/WNL.0000000000201481
DO - 10.1212/WNL.0000000000201481
M3 - Article
C2 - 36257712
AN - SCOPUS:85145966654
SN - 0028-3878
VL - 100
SP - 97
EP - 102
JO - Neurology
JF - Neurology
IS - 2
ER -