QuestionSBA
QuestionChoice
Multiple sclerosis is correct, this patient has had optic neuritis as well as paraesthesia and ataxia due to her left limb. The diagnosis of multiple sclerosis is further supported by the lesions found on imaging.
10002696
a
Multiple Sclerosis
QuestionChoice
This is incorrect as stroke symptoms have a sudden onset and do not spontaneously resolve unless the undelrying cause is treated. Furthermore, stroke patients often suffer from long-term complications, however, these patients' symptoms spontaneously resolved.
10002699
d
Stroke
QuestionChoice
Whilst GBS is an important differential diagnosis to have, it does not typically affect the eyes and tends to affect the body bilaterally, therefore in this case it is incorrect.
10002700
e
Guillain-Barré Syndrome
QuestionChoice
As this patient has history of diabetes, this is incorrect.
10002697
b
Diabetic Neuropathy
QuestionChoice
This is incorrect as due to the chronic nature of the presenting complaint a diagnosis of MS is more likely than TIA. TIA symptoms resolve within 24 hours.
10002698
c
Transient Ischaemic Attack
Concept
Chapter
2693
3745
Multiple Sclerosis
Topic
141
Neurology
13086
A 34-year-old female presents are referred to a neurologist as she lost her vision in her left eye for 5 days 2 months ago. Around 1 year ago, she had also lost all sensation and movement in her left leg for around 2 weeks which spontaneously resolved. She described the loss of sensation as first starting as pins and needles then progressing to full sensory loss over a few days.  MRI of her brain and spinal cord showed multiple lesions throughout the CNS. The patient has no past medical history or family history.

What is the most likely underlying diagnosis?
a