Suspected bacterial meningomyelitis: The first presenting clinical feature of neuromyelitis optica spectrum disorder.

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 Neuroimmunol

authors

Li X,Lin J,Pan S,Weng Y,Li J,Zhang X,Xia J,Tong Q

doi

10.1016/j.jneuroim.2017.05.013

subject

Has Abstract

pub_date

2017-08-15 00:00:00

pages

68-71

eissn

0165-5728

issn

1872-8421

pii

S0165-5728(17)30128-5

journal_volume

309

pub_type

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