Diagnostic challenges in multiple system atrophy

Diana Obelieniene,1 Sandra Bauzaite,1 Ilona Kulakiene,2 Evaldas Keleras,2 Indre Eitmonaite,3 Daiva Rastenyte1 1Department of Neurology, 2Department of Radiology, 3Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania Abstract: Multiple system atrophy is a progressive neurode...

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Autores principales: Obelieniene D, Bauzaite S, Kulakiene I, Keleras E, Eitmonaite I, Rastenyte D
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Lenguaje:EN
Publicado: Dove Medical Press 2018
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spelling oai:doaj.org-article:55d15670cb224156804222f1ddf65d8b2021-12-02T04:32:11ZDiagnostic challenges in multiple system atrophy1178-2021https://doaj.org/article/55d15670cb224156804222f1ddf65d8b2018-01-01T00:00:00Zhttps://www.dovepress.com/diagnostic-challenges-in-multiple-system-atrophy-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Diana Obelieniene,1 Sandra Bauzaite,1 Ilona Kulakiene,2 Evaldas Keleras,2 Indre Eitmonaite,3 Daiva Rastenyte1 1Department of Neurology, 2Department of Radiology, 3Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania Abstract: Multiple system atrophy is a progressive neurodegenerative disorder that is characterized by autonomic failure, cerebellar ataxia and parkinsonism syndrome in various combinations. In spite of the presence of well-established clinical criteria for multiple system atrophy, ante-mortem diagnosis is difficult. In our case report, we present a 78-year-old female patient who presented with early progressive aphasia and severe autonomic dysfunction. Two years after appearance of the first symptoms, she fulfilled all the major criteria for probable multiple system atrophy with rapid progression. In addition, brain magnetic resonance imaging and fluorodeoxyglucose-positron emission tomography findings were more typical for progressive supranuclear palsy. Clinically differentiating multiple system atrophy from progressive supranuclear palsy and other similar neurodegenerative disorders may be challenging in all stages of the disease, especially with atypical disease presentation. Keywords: multiple system atrophy, progressive aphasia, dementia, neurodegenerative diseases, progressive supranuclear palsy, FDG-PET, MRI, MRAObelieniene DBauzaite SKulakiene IKeleras EEitmonaite IRastenyte DDove Medical Pressarticlemultiple-system atrophyprogressive aphasiadementianeurodegenerative diseasesprogressive supranuclear palsy.Neurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 14, Pp 179-184 (2018)
institution DOAJ
collection DOAJ
language EN
topic multiple-system atrophy
progressive aphasia
dementia
neurodegenerative diseases
progressive supranuclear palsy.
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
spellingShingle multiple-system atrophy
progressive aphasia
dementia
neurodegenerative diseases
progressive supranuclear palsy.
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
Obelieniene D
Bauzaite S
Kulakiene I
Keleras E
Eitmonaite I
Rastenyte D
Diagnostic challenges in multiple system atrophy
description Diana Obelieniene,1 Sandra Bauzaite,1 Ilona Kulakiene,2 Evaldas Keleras,2 Indre Eitmonaite,3 Daiva Rastenyte1 1Department of Neurology, 2Department of Radiology, 3Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania Abstract: Multiple system atrophy is a progressive neurodegenerative disorder that is characterized by autonomic failure, cerebellar ataxia and parkinsonism syndrome in various combinations. In spite of the presence of well-established clinical criteria for multiple system atrophy, ante-mortem diagnosis is difficult. In our case report, we present a 78-year-old female patient who presented with early progressive aphasia and severe autonomic dysfunction. Two years after appearance of the first symptoms, she fulfilled all the major criteria for probable multiple system atrophy with rapid progression. In addition, brain magnetic resonance imaging and fluorodeoxyglucose-positron emission tomography findings were more typical for progressive supranuclear palsy. Clinically differentiating multiple system atrophy from progressive supranuclear palsy and other similar neurodegenerative disorders may be challenging in all stages of the disease, especially with atypical disease presentation. Keywords: multiple system atrophy, progressive aphasia, dementia, neurodegenerative diseases, progressive supranuclear palsy, FDG-PET, MRI, MRA
format article
author Obelieniene D
Bauzaite S
Kulakiene I
Keleras E
Eitmonaite I
Rastenyte D
author_facet Obelieniene D
Bauzaite S
Kulakiene I
Keleras E
Eitmonaite I
Rastenyte D
author_sort Obelieniene D
title Diagnostic challenges in multiple system atrophy
title_short Diagnostic challenges in multiple system atrophy
title_full Diagnostic challenges in multiple system atrophy
title_fullStr Diagnostic challenges in multiple system atrophy
title_full_unstemmed Diagnostic challenges in multiple system atrophy
title_sort diagnostic challenges in multiple system atrophy
publisher Dove Medical Press
publishDate 2018
url https://doaj.org/article/55d15670cb224156804222f1ddf65d8b
work_keys_str_mv AT obelieniened diagnosticchallengesinmultiplesystematrophy
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AT kulakienei diagnosticchallengesinmultiplesystematrophy
AT kelerase diagnosticchallengesinmultiplesystematrophy
AT eitmonaitei diagnosticchallengesinmultiplesystematrophy
AT rastenyted diagnosticchallengesinmultiplesystematrophy
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