Dersleri yüzünden oldukça stresli bir ruh haline sikiş hikayeleri bürünüp özel matematik dersinden önce rahatlayabilmek için amatör pornolar kendisini yatak odasına kapatan genç adam telefonundan porno resimleri açtığı porno filmini keyifle seyir ederek yatağını mobil porno okşar ruh dinlendirici olduğunu iddia ettikleri özel sex resim bir masaj salonunda çalışan genç masör hem sağlık hem de huzur sikiş için gelip masaj yaptıracak olan kadını gördüğünde porn nutku tutulur tüm gün boyu seksi lezbiyenleri sikiş dikizleyerek onları en savunmasız anlarında fotoğraflayan azılı erkek lavaboya geçerek fotoğraflara bakıp koca yarağını keyifle okşamaya başlar

GET THE APP

Bilateral Internuclear Ophthalmoplegia, Deficiency and High Dose Administration of Vitamin D in Pediatric-Age Multiple Sclerosis: A Pediatric Case Report and Review of the Literature| Abstract

The Neurologist: Clinical & Therapeutics Journal
Open Access

Our Group organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations
700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)
  • Case Report   
  • Neurol Clin Therapeut J 2018, Vol 2(1): 1

Bilateral Internuclear Ophthalmoplegia, Deficiency and High Dose Administration of Vitamin D in Pediatric-Age Multiple Sclerosis: A Pediatric Case Report and Review of the Literature

Genç Sel C1*, Altıaylık Ozer P2, Savaş Erdeve S3, Aksoy E1, Dedeoğlu O1 and Oğuz KK4
1Department of Pediatric Neurology, Dr Sami Ulus Pediatric and Training Hospital, , Ankara, Turkey
2Department of Ophthalmology, Ufuk University Faculty of Medicine, , Turkey
3Department Pediatric Endocrinology, Dr Sami Ulus Pediatric and Training Hospital, , Ankara, Turkey
4Department of Radiology, Neuroradiology Section, Hacettepe University of Faculty of Medicine, , Ankara, Turkey
*Corresponding Author : Genç Sel C, Pediatric Neurology Department, Dr Sami Ulus Pediatric and Training Hospital, Babür Street, Altındağ 06080, Ankara, Turkey, Tel: +90 312 305 60 00-63 11, Fax: +90 312 317 03 53, Email: cigdemsel@yahoo.com

Received Date: Apr 05, 2018 / Accepted Date: Apr 19, 2018 / Published Date: Apr 26, 2018

Abstract

Oculomotor Disorders (OMDs) can be seen as the initial symptoms or during the course of multiple sclerosis (MS). Bilateral internuclear ophthalmoplegia (BINO) is a rare observation as clinical MS onset. BINO and its prognostic value in pediatric-age MS patients are not absolutely known. Vitamin D deficiency is thought to be associated with an increased disease activity in MS and vitamin D is supposed to be a potent immunomodulatory agent. Vitamin D deficiency, its probable effects on the disease pathogenesis, and high dose administration to a pediatric age patient presented with BINO are discussed in this report.

Keywords: Oculomotor disorders; Multiple sclerosis; Bilateral internuclear ophthalmoplegia Vitamin D; Immunomodulatory agent

Citation: Genç Sel C, Altıaylık Ozer P, Savaş Erdeve S, Aksoy E, Dedeoğlu O, et al. (2018) Bilateral Internuclear Ophthalmoplegia, Deficiency and High Dose Administration of Vitamin D in Pediatric-Age Multiple Sclerosis: A Pediatric Case Report and Review of the Literature. Neurol Clin Therapeut J 2: 108.

Copyright: © 2018 Genç Sel C, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Top