Clinical Reasoning: A 6-Year-Old Girl With Right-Sided Pain and Weakness. (10th January 2023)

• Record Type: Journal Article
• Authors: Gaudioso, Cristina M.; Zolno, Rachel; Wagner, Anne; Mar, Soe
• Is Part Of: Neurology. Volume 100:Number 2(2023)
• Page Start: 97
• Page End: 102
• Publication Date: 2023-01-10
• Subjects: Neurology -- Periodicals; Neurology -- Periodicals; Neurologie -- Périodiques; 616.8
• DOI: 10.1212/WNL.0000000000201481
• Languages: English
• ISSNs: 0028-3878

Abstract

Abstract : 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.