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Post-operative quadriplegia as the initial manifestation of tumefactive multiple sclerosis
Authors:Behzad Maghsoudi  Hossein Haddad  Pooya Vatankhah  Alireza Rasekhi  Abbas Rahimi Jaberi
Affiliation:From: Department of Anesthesiology, Shiraz University of Medical Sciences, Shiraz, Iran;1.Department of Radiology, Shiraz University of Medical Sciences, Shiraz, Iran;2.Department of Neurology, Shiraz University of Medical Sciences, Shiraz, Iran
Abstract:Post-operative quadriplegia is a rarely encountered complication and not previously reported as the initial presentation of tumefactive multiple sclerosis. We present an unusual case of a patient with such manifestation and atypical lesions on brain magnetic resonance imaging. The patient was treated with methyl prednisolone pulse therapy and showed a dramatic response. Uncommon neurologic diseases can have very unusual presentations, which should be taken into consideration when encountered with such patients. Considering this fact will help physicians in better decision-making and proper treatment planning.
Keywords:Multiple sclerosis   postoperation   quadriplegia   tumefactive
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