Acute Aphasia in Multiple Sclerosis
Todd R. Devere, MD;
John L. Trotter, MD;
Anne H. Cross, MD
Arch Neurol. 2000;57:1207-1209.
Acute aphasia is rare in multiple sclerosis. We describe 3 patients with multiple sclerosis who had acute exacerbations presenting as aphasias. One patient had a mixed transcortical aphasia, 1 had a transcortical motor aphasia, and 1 had a Broca aphasia. Magnetic resonance imaging scans of the brain with contrast enhancement revealed new white matter lesions in the left hemisphere in all 3 patients. Two of the 3 patients had a good response to treatment with methylprednisolone sodium succinate.
From the Department of Neurology, Washington University School of Medicine, St Louis, Mo.
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