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NEUROLOGY 2004;62:974-977
© 2004 American Academy of Neurology
Brief Communications

Acute aphasia in multiple sclerosis

A multicenter study of 22 patients

A. Lacour, MD, J. de Seze, MD, E. Revenco, MD, C. Lebrun, MD, K. Masmoudi, MD, E. Vidry, MD, L. Rumbach, MD, M. Chatel, MD, A. Verier, MD and P. Vermersch, MD

From the Department of Neurology (Drs. Lacour, de Seze, Masmoudi, Verier, and Vermersch), University of Lille, Groupe septentrional d’études et de prise en charge de la sclérose en plaques (G-SEP) (Drs. Revenco, Vidry, and Rumbach), Department of Neurology, University of Besançon, and Department of Neurology (Drs. Lebrun and Chatel), University of Nice, France.

Address correspondence and reprint requests to Dr. de Seze, Department of Neurology, Hôpital R. Salengro, CHRU de Lille, 59037 Lille Cedex, France; e-mail: j-deseze{at}chru-lille.fr

Aphasia is usually considered to be rare in multiple sclerosis (MS). To determine the clinical and radiologic characteristics of MS patients with acute aphasia, the authors investigated data from 2,700 patients from three MS centers and found 22 patients with acute aphasia (0.81%). Aphasia was the first clinical manifestation of MS in eight patients (36%). Brain MRI showed giant plaques in eight cases (40%). A full recovery was observed in 14 patients (64%). Furthermore, acute aphasia did not appear to be a criterion for poor prognosis.

Received September 10, 2003. Accepted in final form November 6, 2003.




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