Presentation of Neuromyelitis Optica with Recurrent Severe Myelitis and Acute Respiratory Failure in an Old Woman
| Autor: | Mostafa Almasi, Zahra Ghurchian, Amir Hasan Habibi, Saeed Razmeh, Farzad Sina |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
030203 arthritis & rheumatology
medicine.medical_specialty Neuromyelitis optica medicine.diagnostic_test business.industry medicine.medical_treatment lcsh:R lcsh:Medicine Myelitis Magnetic resonance imaging medicine.disease Lesion 03 medical and health sciences 0302 clinical medicine Respiratory failure medicine Optic nerve Plasmapheresis Radiology medicine.symptom business 030217 neurology & neurosurgery Rare disease |
| Zdroj: | Zahedan Journal of Researches in Medical Sciences, Vol 19, Iss 6 (2017) |
| ISSN: | 2383-2894 |
| DOI: | 10.5812/zjrms.10336 |
| Popis: | Neuromyelitis Optica (NMO) is a rare disease of the central nervous system that causes optic nerve and spinal cord involvement. The our patient first developed acute paraplegia that was treated with intravenous methylprednisolone with diagnosis of acute thoracic myelitis according to magnetic resonance imaging (MRI) finding , concurrently with tapering of oral prednisolone, again affected by quadriplegia and respiratory failure. She was seropositivity for NMO-IgG that was negative in first admission and MRI of spine shows hyperintense lesion in whole cervical and upper thoracic MRI. With considering the findings, NMO was diagnosed and the plasmapheresis starts for her. We report a case of this syndrome because it can increase the physician’s awareness of the unusual manifestations of this syndrome. |
| Databáze: | OpenAIRE |
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