Abstract
A man who had suffered from Eales disease at the age of 20 presented an acute Brown-Séquard spinal syndrome when he was 30, followed shortly after by paralysis of the right abducens and recurrent laryngeal nerves. Steroid treatment apparently relieved the myelopathy while the neurological deficits have remained unchanged for the past 14 years. In view of the clinical and CSF findings the neurological deficits are attributed to the same disease process as that underlying the peripheral retinal abnormalities characteristic of Eales disease rather than to multiple sclerosis.
Sommario
In un uomo, colpito all'età di 20 anni da malattia di Eales, si sono manifestate acutamente all'età di 30 anni una sindrome midollare del tipo Brown-Séquard e poi una paralisi dell'abducente e del laringeo superiore destri. La mielopatia è migliorata, apparentemente dopo terapia cortisonica, ma i deficit neuritici sono rimasti invariati a distanza di 14 anni. Gli autori, sulla base del reperti clinici e liquorali, non attribuiscono i sopradetti deficit neurologici multifocali alla sclerosi multipla ma li considerano conseguenti allo stesso processo patologico nei vasi periferici della retina caratteristico della malattia di Eales.
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Alfieri, G., Barontini, F., Brogelli, S. et al. Unusual association of Eales disease with multifocal neurological deficit. Ital J Neuro Sci 5, 461–462 (1984). https://doi.org/10.1007/BF02042633
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DOI: https://doi.org/10.1007/BF02042633