Neuromyelitis optica spectrum disorder mimicking multiple sclerosis

被引:1
作者
van Rooij, Lucas C. [1 ]
Wattjes, Mike P. [2 ]
de Jong, Brigit A. [3 ]
van Oosten, Bob W. [3 ]
机构
[1] Haaglanden Med Ctr, Dept Neurol, The Hague, Netherlands
[2] Vrije Univ Amsterdam, Dept Radiol, Med Ctr, Amsterdam, Netherlands
[3] Vrije Univ Amsterdam, Dept Neurol, Med Ctr, Amsterdam, Netherlands
关键词
Neuromyelitis optica spectrum disorder; Multiple sclerosis; Aquaporin; 4; antibodies; Longitudinally extensive transverse myelitis; Rituximab;
D O I
10.1016/j.msard.2017.06.009
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Background: MS is a demyelinating CNS disease and has distinct clinical and radiological features. Neuromyelitis optica spectrum disorder (NMOSD) is an antibody related auto-immune disease known for invalidating episodes of myelitis and optic neuritis. Objective: Reporting the case of a 29-year old woman with a disease course typical for relapsing remitting MS with consistent radiological and spinal fluid findings, who developed longitudinally extensive transverse myelitis (LETM) with positive aquaporin 4 antibodies, fulfilling the diagnostic criteria for NMOSD. Methods: Case report. Results: LETM is not consistent with MS. Consider NMOSD even in patients with typical MS and check for aquaporin-4 antibodies, with important treatment consequences.
引用
收藏
页码:54 / 56
页数:3
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