Internuclear Ophthalmoplegia as the First Manifestation of Pediatric-Onset Multiple Sclerosis and Concurrent Lyme Disease

Jonathan Chao; Sandal Saleem; Hassan N. Tausif; Kelly Levasseur; Lori A. Stec

doi:10.12659/AJCR.925220

07 October 2020 : Case report USA

Internuclear Ophthalmoplegia as the First Manifestation of Pediatric-Onset Multiple Sclerosis and Concurrent Lyme Disease

Rare coexistence of disease or pathology

Jonathan Chao^1EF*, Sandal Saleem^2EF, Hassan N. Tausif^1E, Kelly Levasseur^2E, Lori A. Stec^1E

DOI: 10.12659/AJCR.925220

Am J Case Rep 2020; 21:e925220

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Figure 2. Magnetic resonance imaging of the head using T2/FLAIR sequencing. (A) Scattered bilateral foci of periventricular and subcortical deep white matter. An axial section demonstrating an active demyelinating lesion of the left and posterior right cortical regions. (B) Sagittal image of foci of abnormal signal within in the pons. Of note, there is an incidental benign cystic enlargement of the pineal gland.

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Internuclear Ophthalmoplegia as the First Manifestation of Pediatric-Onset Multiple Sclerosis and Concurrent Lyme Disease

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