Central nervous system Sjögren's syndrome in a child: case report and review of the literature.

Abstract:

:We describe a case of pediatric Sjögren's syndrome with progressive neurologic involvement. At age 4 years, she had been diagnosed with Melkersson-Rosenthal syndrome. After being stable with facial diplegia and swelling for 5 years, she acutely presented with diplopia, vertigo, and ataxia. Cranial magnetic resonance imaging (MRI) showed a left dorsal midbrain lesion. Serologic and histopathologic findings confirmed primary Sjögren's syndrome. She responded well to intravenous methylprednisolone, with subsequent clinical improvement and MRI resolution. This report reviews the pediatric literature and underscores the importance of considering Sjögren's syndrome in a child with unexplained facial weakness and in the differential diagnosis of pediatric stroke.

journal_name

J Child Neurol

authors

Gottfried JA,Finkel TH,Hunter JV,Carpentieri DF,Finkel RS

doi

10.1177/088307380101600911

subject

Has Abstract

pub_date

2001-09-01 00:00:00

pages

683-5

issue

9

eissn

0883-0738

issn

1708-8283

journal_volume

16

pub_type

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