MOG encephalomyelitis: distinct clinical, MRI and CSF features in patients with longitudinal extensive transverse myelitis as first clinical presentation

被引:29
作者
Loos, Julia [1 ]
Pfeuffer, Steffen [2 ]
Pape, Katrin [1 ]
Ruck, Tobias [2 ]
Luessi, Felix [1 ]
Spreer, Annette [1 ]
Zipp, Frauke [1 ]
Meuth, Sven G. [2 ]
Bittner, Stefan [1 ]
机构
[1] Johannes Gutenberg Univ Mainz, Dept Neurol, Focus Program Translat Neurosci FTN, Rhine Main Neurosci Network Rmn2,Univ Med Ctr, Mainz, Germany
[2] Univ Munster, Clin Neurol Inst Translat Neurol, Munster, Germany
关键词
Myelin oligodendrocyte glycoprotein (MOG) antibodies; Diagnosis; Myelitis; Longitudinal extensive transverse myelitis (LETM); Neuromyelitis optica spectrum disorders (NMOSD); OLIGODENDROCYTE GLYCOPROTEIN ANTIBODIES; OPTICA SPECTRUM DISORDERS; NEUROMYELITIS-OPTICA; AQUAPORIN-4; ANTIBODY; DIAGNOSTIC-CRITERIA; ADULTS; IGG; AUTOIMMUNITY; AQP4-IGG; DISEASE;
D O I
10.1007/s00415-020-09755-x
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Background Based on clinical, immunological and histopathological evidence, MOG-IgG-associated encephalomyelitis (MOG-EM) has emerged as a distinct disease entity different from multiple sclerosis (MS) and aquaporin-4-antibody-positive neuromyelitis optica spectrum disorder (NMOSD). MOG-EM is associated with a broader clinical phenotype including optic neuritis, myelitis, brainstem lesions and acute disseminated encephalomyelitis with a substantial clinical and radiological overlap to other demyelinating CNS disorders. Objective To evaluate common clinical, MRI and CSF findings, as well as therapy responses in patients with longitudinal extensive transverse myelitis (LETM) as initial clinical presentation of MOG-EM. Methods After excluding patients with a known diagnosis of MS, we identified 153 patients with myelitis of which 7 fulfilled the inclusion criteria and were investigated for MRI, CSF and clinical parameters. Results Patients with LETM as first clinical presentation of MOG-EM display similar characteristics, namely a lack of gadolinium-enhancement in spinal cord MRI, marked pleocytosis, negative oligoclonal bands, a previous history of infections/vaccinations and response to antibody-depleting treatments for acute attacks and long-term treatment. Conclusions We identify common pathological findings in patients with LETM as first clinical presentation of MOG-EM which distinguishes it from other forms of LETM and should lead to testing for MOG-IgG in these cases.
引用
收藏
页码:1632 / 1642
页数:11
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