Clippers: A Case which does not Respond to Steroid Treatment

Authors: Asuman A , Cemile H , Gümüştaş AU , Gümüştaş O , Hakyemez B and Ömer FT

DOI: 10.23880/crij-16000128

Volume 2, Issue 3

Abstract

In this study, we aimed to increase our knowledge by comparing clinical and brain magnetic resonance imaging (MRI) findings in CLIPPERS syndrome. A 34-year-old male patient was treated with a diagnosis of upper respiratory tract infections at centers where he had begun slowly with no previous history of illness and drug use, and had complaints of exacerbation, vomiting, anorexia and unbalanced gait. But the clinical features were not stable, visual impairment, speech slowing, swallowing and chewing difficulties were added, neurological evaluation was performed, and high-dose pulse methylprednisolone therapy following brain MR was administered 1 g/day intravenously for five days. Oral methylprednisolone treatment was continued. Corticotherapy was partially responded and the patient had an aspiration pneumonia after three months and died at the fourth month of the illness. 1.5 tesla brain MRI was performed and T1w,T2w,T2 flair and diffuse axial sections were taken. Cerebrospinal fluid analysis was performed. 

Keywords: Clippers; Multiple Sclerosis; Demyelinating Diseases

View PDF