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KMID : 1022820100010020064
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Journal of Multiple Sclerosis and Neuroimmunology
2010 Volume.1 No. 2 p.64 ~ p.66
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A Case of Paroxysmal Focal Hand Dystonia as the Initial Presentation of Multiple Sclerosis
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Yoon Bo-Ra
Kim Yong-Duk
An Jae-Young
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Abstract
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Paroxysmal focal dystonia is an uncommon clinical manifestation of multiple sclerosis (MS). We present the case of 37-year-old woman with paroxysmal focal hand dystonia as the only initial symptom of MS. Brain MRI showed a focal enhancing lesion in the internal capsule and multiple demyelinating lesions. Findings of cerebrospinal fluid analysis and follow-up MRI were compatible with prototype MS. When paroxysmal focal hand dystonia is the only symptom of disease, MS should be included in the differential diagnosis.
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KEYWORD
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Paroxysmal dystonia, Multiple sclerosis, Internal capsule
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