Neuromyelitis optica with rapid respiratory failure: a case report
| Autor: | Norihiro Kido, Takashi Tagami, Kosuke Otake, Masanori Sakamaki, Toru Mochizuki, Kiyoshi Matsuda, Akihiro Watanabe |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Case Report
Case Reports 030204 cardiovascular system & hematology Tachypnea Transverse myelitis 03 medical and health sciences 0302 clinical medicine medicine Optic neuritis Neuromyelitis optica medicine.diagnostic_test RC86-88.9 business.industry General Engineering Medical emergencies. Critical care. Intensive care. First aid Magnetic resonance imaging medicine.disease Spinal cord eye diseases Pneumonia medicine.anatomical_structure Respiratory failure Central nervous system Anesthesia 030211 gastroenterology & hepatology medicine.symptom business respiration |
| Zdroj: | Acute Medicine & Surgery Acute Medicine & Surgery, Vol 8, Iss 1, Pp n/a-n/a (2021) |
| ISSN: | 2052-8817 |
| Popis: | Background Neuromyelitis optica is an inflammatory demyelinating disease of the central nervous system and is characterized by severe optic neuritis and transverse myelitis. Case Presentation The patient was a 74‐year‐old man with pneumonia. On admission, he exhibited lower limb weakness and rapid respiratory deterioration in the form of tachypnea. Subsequently, he was transported to the Emergency Center of our hospital. High‐signal lesions were observed from the cervical spinal cord to the thoracic spinal cord on T2‐weighted spinal magnetic resonance images. Neuromyelitis optica was suspected, and the patient received steroid pulse therapy and immunoadsorption plasmapheresis. Serum samples obtained upon transfer were positive for anti‐aquaporin‐4 antibodies, which confirmed the diagnosis of neuromyelitis optica. Thereafter, the patient was transferred to a rehabilitation hospital. Conclusion Rapid respiratory failure in neuromyelitis optica is rare, and care is needed while treating these cases. Neuromyelitis optica is an inflammatory central nervous system disorder characterized by severe optic neuritis and transverse myelitis. We present a case with acute respiratory failure. |
| Databáze: | OpenAIRE |
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