A Case of Neuromyelitis Optica with Paraneoplastic Syndrome in Hepatocellular Carcinoma
Journal of the Korean Ophthalmological Society
;
: 1630-1634, 2013.
Artículo
en Coreano
| WPRIM
| ID: wpr-12539
ABSTRACT
PURPOSE:
We report a case of neuromyelitis optica (Devic's syndrome) with hepatocellular carcinoma. CASESUMMARY:
A 70-year-old male with hepatocellular carcinoma presented with bilateral visual loss. A relative afferent pupillary defect was not observed in either eye due to bilateral mydriasis. On brain MRI, there was no specific finding, however, on spine MRI, multiple and severe myelopathies were observed. After high-dose methylprednisolone pulse therapy, the visual acuity was 0.03 in the right eye and counting fingers at 30 cm in the left eye.CONCLUSIONS:
We encountered a case of neuromyelitis optica involving bilateral optic neuropathy in hepatocelluar carcinoma. Therefore, in patients with an optic neuropathy of uncertain etiology, clinicians should consider performing a systemic evaluation.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Síndromes Paraneoplásicos
/
Enfermedades de la Médula Espinal
/
Columna Vertebral
/
Encéfalo
/
Metilprednisolona
/
Agudeza Visual
/
Midriasis
/
Enfermedades del Nervio Óptico
/
Neuritis Óptica
/
Trastornos de la Pupila
Límite:
Anciano
/
Humanos
/
Masculino
Idioma:
Coreano
Revista:
Journal of the Korean Ophthalmological Society
Año:
2013
Tipo del documento:
Artículo
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