Multiple Sclerosis: Case Series From Togo

Multiple sclerosis (MS) is a chronic inflammatory demyelinating disease of the central nervous system.We report two MS cases in Togo.The first patient was 54 years old, hypertensive and diabetic, admitted with right hemiparesis and left VI paralysis.A stroke was suspected, and the etiological work-up revealed diagnostic problems.The diagnosis of MS was accepted.He received background treatment with interferon beta-1a.Progression remained stationary with an EDSS score of 1.5.The second was a 17-year-old adolescent with a history of regressive right upper limb deficit, optic neuropathy, gait and balance problems, bilateral statokinetic cerebellar syndrome, bilateral pyramidal syndrome, right sensory syndrome, and sphincter disorders.He received background treatment with azathioprine.Progression remained stable, with an EDSS score of 6.0.