P-OT014. Neurobehavior disorders and chronic fatigue associated with autoimmune disease: a rare case of multiple sclerosis

Introduction. Neurobehavior disorders and chronic fatigue are symptoms that should be explored. The causes of neurobehavior disorders and chronic fatigue can be various, one of which is autoimmune causes. Among the autoimmune diseases that cause these symptoms, the most common is SLE and Multiple Sclerosis. To establish a diagnosis of multiple sclerosis, MRI examination can be done because of its very high sensitivity and specificity and then appropriate therapy is carried out on the patient. Results. A 26-year-old male with a history of cognitive impairment in the attention domain, memory, depression and chronic fatigue for 7 years came to the neurological clinic. Previous examination history was suspected of being SLE but on a more detailed examination, there was a suspicion of Multiple Sclerosis. Then, a cerebal MRI examination was performed and a suspicion of early multiple sclerosis was noted in juxtacortical frontal lobe bilaterally, bilateral occipitalis, periventricular right anterior horn, with white matter lesion score (Fazekas) 1. Conservative therapy with analgesics and corticosteroids in patients ended good results without significant complications. Conclusion. Neurobehavior disorders and chronic fatigue are symptoms of Multiple Sclerosis that must be considered, the cerebral MRI diagnostic approach can help make the diagnosis because of its high sensitivity and specificity.