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dc.contributor.authorPsaila, Matthew
dc.contributor.authorMicallef Stafrace, Kirill
dc.identifier.citationMalta Medical Journal. 2015, Vol. 27(3), p. 30-33en_GB
dc.description.abstractAthletes presenting with neurological symptoms merit thorough assessments that in most cases will include investigations with one or more imaging modality. Imaging is especially useful in atypical presentations of neurological pathology (both acute and chronic) as was the instance in the presented case report. The case of a 22-year-old male soldier is presented who presented with a two week history of paraesthesia involving his right hand. After being assessed by the military medical officer, a presumptive diagnosis of cervical radiculopathy was made and appropriate treatment was prescribed. Symptoms persisted despite treatment and following an inconclusive cervical X-Ray, a magnetic resonance scan was booked that confirmed the diagnosis of multiple sclerosis. The patient was admitted to hospital and started on intravenous methylprednisolone and beta-interferon therapy with resolution of his symptoms. This case highlights the usefulness of imaging in confirming diagnosis, especially in atypical presentations of pathology afflicting the neurological system. Atypical symptoms, lack of response to standard therapy and inconclusive initial radiological investigations, should prompt the physician to carry out further detailed imaging modalities. The choice of the latter will need to reflect the working differential diagnoses. With reference to the presented case, imaging plays a role not only in diagnosis but also in assessing response to treatment and disease progression.en_GB
dc.publisherMalta Medical Journalen_GB
dc.subjectMultiple sclerosis -- Case studiesen_GB
dc.subjectNervous system -- Wounds and injuriesen_GB
dc.subjectNervous system -- Diseases -- Casestudiesen_GB
dc.titleAn unexpected cause of palmar paraesthesia in a soldier : a case reporten_GB
dc.rights.holderThe copyright of this work belongs to the author(s)/publisher. The rights of this work are as defined by the appropriate Copyright Legislation or as modified by any successive legislation. Users may access this work and can make use of the information contained in accordance with the Copyright Legislation provided that the author must be properly acknowledged. Further distribution or reproduction in any format is prohibited without the prior permission of the copyright holder.en_GB
Appears in Collections:MMJ, Volume 27, Issue 3
MMJ, Volume 27, Issue 3
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