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Multiple Sclerosis
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Acute 'upside-down' visual inversion due to multiple sclerosis

Esra Emine Okuyucu

Department of Neurology, Faculty of Medicine, Mustafa Kemal University, Antakya (Antochia), Hatay, Turkey, esraokuyucu{at}yahoo.com

Semsettin Okuyucu

Department of Oto-Rhino-Laryngology, Head and Neck Surgery, Mustafa Kemal University, Antakya (Antochia), Hatay, Turkey

Sinem Karazincir

Department of Radiology, Mustafa Kemal University, Antakya (Antochia), Hatay, Turkey

Ertap Akoglu

Department of Oto-Rhino-Laryngology, Head and Neck Surgery, Mustafa Kemal University, Antakya (Antochia), Hatay, Turkey

Taskin Duman

Department of Neurology, Faculty of Medicine, Mustafa Kemal University, Antakya (Antochia), Hatay, Turkey

In a 20-year-old male patient, a 180 degree inversion of visual image was found as a manifestation of multiple sclerosis. Upside down reversal of vision is not a well-known sign in multiple sclerosis. Exact mechanism is still unknown. Lesions involving cortical areas, mainly the parieto-occipital region, have occasionally been documented. To our knowledge this is the first report of upside-down reversal of vision in multiple sclerosis with cerebra lesion on MRI. Multiple Sclerosis 2008; 14: 266—267. http://msj.sagepub.com

Key Words: metamorphopsia • multiple sclerosis • reversal • upside-down • vision

This version was published on March 1, 2008

Multiple Sclerosis, Vol. 14, No. 2, 266-267 (2008)
DOI: 10.1177/1352458507082045
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