Journal of Multiple Sclerosis

Psychotic Symptoms as Onset Clinical Presentation in a Case of Pediatric Onset Multiple Sclerosis

Elisa Carloni, Chiara Casamento Tumeo, Giulia Testa, Alessandra Mandarino, Michela Ada Noris Ferilli, Gabriele Monte, Martina Proietti Checchi, Samuela Tarantino, Luigi Mazzone, Stefano Vicari, Massimiliano Valeriani and Laura Papetti*

Multiple Sclerosis (MS) can have an onset before the age of 16 years in 3-10% of cases. When onset occurs at such a young age, the clinical or neuro-radiological features of MS may be different from MS in adult patients.

We report the case of a 17-year-old girl with an onset of MS characterized by psychotic symptoms. This pattern of clinical presentation has been described in adults with MS, but pediatric cases are anecdotal. With the description of this case, we contribute to reinforce the importance of atypical clinical symptoms in the diagnostic pathway of pediatric onset MS.