DIAGNOSING MULTIPLE SCLEROSIS IN A 9 YEAR OLD BOY – CASE STUDY

Diagnosis of multiple sclerosis (MS) in children, especially those less than 11 years old, can be a challenge for physicians. The disease can be easily not considered in children or misdiagnosed. Most pediatric MS patients who are less than 11 years present with clinical features that are difficult to discern from acute disseminated encephalomyelitis (ADEM). Purpose (a): This case study aims to highlight the clinical features and imaging results of multiple sclerosis seen in a 9 year old boy and to distinguish these from ADEM, which presents with similar clinical features and is usually first diagnosed in pediatric patients. Methods (b): Information and records were obtained on a 9 year old boy diagnosed with MS who presented initially with a history of relapsing and remitting episodes of somnolence, hemiparesis, blurred vision and dizziness at Driscoll Children's Hospital in Corpus Christi. Results (c): Clinical features and MRI data after 3 months confirmed diagnosis of MS, and he was placed on the long-term immuno- modulatory therapy, Copaxon. Conclusions (d): Children, especially those with ADEM, should be monitored closely for other transient neurological symptoms, such as blurry vision or episodes of dizziness that resolve on their own. These symptoms commonly present in kids who may develop multiple sclerosis.