PDF(Pubmed)
Abstract：
Multiple sclerosis (MS) is an autoimmune demyelinating neurological disorder primarily manifesting with a range of neurological symptoms, with cardiovascular autonomic involvement being a rare occurrence. We report a case where a patient initially presented with Bell\'s palsy, without other notable symptoms or signs, and subsequently developed atrial fibrillation, hypertension, and hemiparesis. Magnetic resonance imaging (MRI) revealed extensive demyelination in the cerebral hemispheres, brainstem, and notably, the area postrema. The anatomy of the area postrema and its connections, in relation to neurogenic hypertension, are discussed. The demyelination in the area postrema was thought to be the cause of our patient\'s arrhythmias and acute hypertension. Furthermore, we discuss the cerebral origins of cardiac arrhythmias, with a focus on MS and other neurological conditions. This case underscores the rarity of isolated cranial neuropathies, such as Bell\'s palsy, as an initial sign of MS, marking the onset of a relapse.
摘要：
多发性硬化症（MS）是一种自身免疫性脱髓鞘神经系统疾病，主要表现为一系列神经系统症状，心血管自主神经受累是罕见的。我们报告了一个最初出现贝尔麻痹的病人，没有其他明显的症状或体征，随后发展为心房颤动，高血压,和偏瘫.磁共振成像（MRI）显示大脑半球广泛脱髓鞘，脑干,尤其是,之后的地区。后区域的解剖结构及其连接，关于神经源性高血压，正在讨论。该区域的脱髓鞘被认为是我们患者心律失常和急性高血压的原因。此外，我们讨论了心律失常的大脑起源，专注于MS和其他神经系统疾病。这个病例强调了孤立的颅神经病的罕见，比如贝尔氏麻痹,作为MS的最初迹象，标志着复发的开始。
