Multiple myeloma: presenting as a neurological disorder
Sen, S.K.; Hunter, S.B.; Dent, C.A.; Green, L.D.
Journal of the National Medical Association 72(2): 135-139
1980
ISSN/ISBN: 0027-9684 PMID: 7365813 Document Number: 164244
A case is reported of multiple myeloma presenting with signs and symptoms of paraplegia in a patient with a history of hypertension and remote cerebral vascular accident. The laboratory findings of hyperproteinemia and uricemia suggest a protein synthesizing abnormality. This case emphasizes that most patients with protein abnormality should be investigated by protein electrophoresis and immunoelectrophoresis.Unusual clinical presentation of multiple myeloma may result in an erroneous diagnosis unless proper investigation in the appropriate line is made.