title: Post-operative quadriplegia as the initial manifestation of tumefactive multiple sclerosis.
abstract: Post-operative quadriplegia is a rarely encountered complication and not previously reported as the initial presentation of tumefactive multiple sclerosis. We present an unusual case of a patient with such manifestation and atypical lesions on brain magnetic resonance imaging. The patient was treated with methyl prednisolone pulse therapy and showed a dramatic response. Uncommon neurologic diseases can have very unusual presentations, which should be taken into consideration when encountered with such patients. Considering this fact will help physicians in better decision-making and proper treatment planning.
authors.affiliation: Department of Anesthesiology, Shiraz University of Medical Sciences, Shiraz, Iran.
authors.forename: Behzad
authors.initials: B
authors.lastname: Maghsoudi
authors.affiliation: Department of Anesthesiology, Shiraz University of Medical Sciences, Shiraz, Iran.
authors.forename: Hossein
authors.initials: H
authors.lastname: Haddad
authors.affiliation: Department of Anesthesiology, Shiraz University of Medical Sciences, Shiraz, Iran.
authors.forename: Pooya
authors.initials: P
authors.lastname: Vatankhah
authors.affiliation: Department of Radiology, Shiraz University of Medical Sciences, Shiraz, Iran.
authors.forename: Alireza
authors.initials: A
authors.lastname: Rasekhi
authors.affiliation: Department of Neurology, Shiraz University of Medical Sciences, Shiraz, Iran.
authors.forename: Abbas Rahimi
authors.initials: AR
authors.lastname: Jaberi
keywords: Multiple sclerosis; postoperation; quadriplegia; tumefactive