First presentation of multiple sclerosis: eight and a half plus syndrome

Abstract

Isolated cranial nerve palsy as the first clinical relapse in multiple sclerosis is very rare. In multiple involvement, the abducens and facial nerve are most commonly affected together. Herein, we report a newly diagnosed case of multiple sclerosis presenting as eight and a half plus syndrome, which is very rare and involving the facial colliculus and its neighbourhood as the first clinical relapse.