A Case of Neuromyelitis Optica with Paraneoplastic Syndrome in Hepatocellular Carcinoma
Journal of the Korean Ophthalmological Society
;
: 1630-1634, 2013.
Article
Dans Coréen
| 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.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Syndromes paranéoplasiques
/
Maladies de la moelle épinière
/
Rachis
/
Encéphale
/
Méthylprednisolone
/
Acuité visuelle
/
Mydriase
/
Atteintes du nerf optique
/
Névrite optique
/
Troubles pupillaires
Limites du sujet:
Adulte très âgé
/
Humains
/
Mâle
langue:
Coréen
Texte intégral:
Journal of the Korean Ophthalmological Society
Année:
2013
Type:
Article
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