Korsakoff's syndrome as the initial presentation of multiple sclerosis.

Abstract:

:A 37-year-old man presented with an acute amnestic syndrome of Korsakoff's type and an upper brain-stem oculomotor syndrome. After a moderate improvement with steroid therapy, he developed progressive behavioural changes due to a frontal lobe syndrome, in addition to motor and visual impairment. Memory performance was investigated on several occasions during an 11-year follow-up. Diagnosis of laboratory-supported definite multiple sclerosis was established and magnetic resonance imaging showed disseminated white matter lesions, especially in both medial temporal lobes. No other cause than multiple sclerosis was found for the amnestic syndrome. Among the rare cases of Korsakoff's syndrome in the course of multiple sclerosis, this is to our knowledge the first case in which a memory deficit was the initial manifestation of the disease.

journal_name

J Neurol

journal_title

Journal of neurology

authors

Vighetto A,Charles N,Salzmann M,Confavreux C,Aimard G

doi

10.1007/BF00315338

subject

Has Abstract

pub_date

1991-09-01 00:00:00

pages

351-4

issue

6

eissn

0340-5354

issn

1432-1459

journal_volume

238

pub_type

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