Seropositive Neuromyelitis Optica imitating an Intramedullary Cervical Spinal Cord Tumor: Case Report and Brief Review of the Literature
Asian Spine Journal
;
: 684-688, 2014.
Artículo
en Inglés
| WPRIM
| ID: wpr-27058
ABSTRACT
A 44-year-old woman with progressive cervical myelopathy and central cord syndrome was noted to have an extensive cervical intramedullary contrast-enhancing lesion on magnetic resonance imaging (MRI). The lesion resembled a spinal astrocytoma or ependymoma that required surgical intervention. She was subsequently diagnosed to have neuromyelitis optica (NMO), a rare idiopathic inflammatory demyelinating disorder, when the clinical examination revealed left optic atrophy. This was confirmed by a test showing seropositivity for NMO-immunoglobulin (IgG). Disease control was achieved with corticosteroids and immunosuppressive therapy. We report a rare case of a patient with NMO who had MRI features that could have easily led to the condition being misdiagnosed as a spinal cord tumor. The importance of careful history taking, awareness of typical radiological findings and the usefulness of serum NMO-IgG as a diagnostic tool are emphasized.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Astrocitoma
/
Enfermedades de la Médula Espinal
/
Neoplasias de la Médula Espinal
/
Imagen por Resonancia Magnética
/
Atrofia Óptica
/
Neuromielitis Óptica
/
Enfermedades Desmielinizantes
/
Corticoesteroides
/
Síndrome del Cordón Central
/
Ependimoma
Límite:
Adulto
/
Femenino
/
Humanos
Idioma:
Inglés
Revista:
Asian Spine Journal
Año:
2014
Tipo del documento:
Artículo
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