title: Multiple Sclerosis Presenting as a Delirium: A Case Report.
abstract: OBJECTIVE
  To report a case of multiple sclerosis (MS) with delirium as the first presentation.
  
  
  METHODS
  A 34-year-old female was referred to our department with an acute onset of drowsiness, withdrawal from routine activities and aggression, followed by neurologic deficits after a couple of days. Clinical and radiographic examinations were performed, leading to the initial diagnosis of MS. A vast range of differential diagnoses was excluded to confirm the diagnosis of MS.
  
  
  CONCLUSIONS
  Neurological examination and appropriate imaging enabled the diagnosis of MS with delirium in this patient followed by the appropriate treatment.
authors.affiliation: Department of Neurology, Marien Hospital Euskirchen, Teaching Hospital of Bonn University, Euskirchen, Germany.
authors.forename: Nastaran
authors.initials: N
authors.lastname: Mahboobi
authors.forename: Silke
authors.initials: S
authors.lastname: Nolden-Hoverath
authors.forename: Olaf
authors.initials: O
authors.lastname: Rieker
authors.forename: Hartmut
authors.initials: H
authors.lastname: Bauer
mesh_terms: D000328:Adult; D003693:Delirium / Q000150:complications*; D003937:Diagnosis, Differential; D003943:Diagnostic Techniques, Neurological; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D009103:Multiple Sclerosis / Q000150:complications* / Q000175:diagnosis*