Multiple sclerosis (MS): paroxysmal attacks

Evidence-based neurology checklist on multiple sclerosis (ms): paroxysmal attacks: Definition These are multiple, brief, neurological symptoms They are sudden onset They are stereotyped They last seconds to minutes They may predict MS relapses They are typically seen in relapsing MS but they may…

Definition

  • These are multiple, brief, neurological symptoms
  • They are sudden onset
  • They are stereotyped
  • They last seconds to minutes
  • They may predict MS relapses
  • They are typically seen in relapsing MS but they may appear in progressive MS
  • They may be the first presentations of MS

Movement disorders

Ophthalmic symptoms

Other neurological symptoms

Systemic symptoms

Triggers

Differential diagnoses

Treatment

References

  1. Freiha J, Riachi N, Chalah MA, Zoghaib R, Ayache SS, Ahdab R. Paroxysmal symptoms in multiple sclerosis-a review of the literature. J Clin Med 2020; 9:3100. 
  2. Twomey JA, Espir ML. Paroxysmal symptoms as the first manifestations of multiple sclerosis. JNNP 1980; 43:296-304. 
  3. Zhang Y, Fan S, Han F, Xu Y. Paroxysmal symptoms as the first manifestation of multiple sclerosis mimicking a transient ischemic attack: a report of two cases. Front Neurol 2017; 8:585.
  4. Iorio R, Capone F, Plantone D, Batocchi AP. Paroxysmal ataxia and dysarthria in multiple sclerosis. J Clin Neurosci 2014; 21:174-175. 
  5. Shah S, Klassen BT, Flanagan EP. Teaching Video NeuroImages: paroxysmal dysarthria-ataxia in multiple sclerosis. Neurology 2021; 96:e2245-e2246.
  6. And 5 more. Subscribe to see the full list

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