Abstract:
:A rare case of neuromyelitis optica spectrum disorder, suspected to be bacterial meningomyelitis as the initial manifestation, is reported. The patient presented with initial symptoms of meningomyelitis and fever. Cerebrospinal fluid analysis revealed pleocytosis (1280×106/L [98% lymphocytes]) and glucose level of 1.8mmol/L. Magnetic resonance imaging revealed >3 vertebral, longitudinally extensive transverse myelitis and area postrema lesions. Right optic neuritis was experienced 20months after the first attack. Serum anti-aquaporin-4 antibody was positive, and a diagnosis of neuromyelitis optica spectrum disorder was made, supporting the hypothesis that the pathogenesis of neuromyelitis optica is triggered by infection.
journal_name
J Neuroimmunoljournal_title
Journal of neuroimmunologyauthors
Li X,Lin J,Pan S,Weng Y,Li J,Zhang X,Xia J,Tong Qdoi
10.1016/j.jneuroim.2017.05.013subject
Has Abstractpub_date
2017-08-15 00:00:00pages
68-71eissn
0165-5728issn
1872-8421pii
S0165-5728(17)30128-5journal_volume
309pub_type
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