A Case of Neuromyelitis Optica with Paraneoplastic Syndrome in Hepatocellular Carcinoma
Journal of the Korean Ophthalmological Society
;
: 1630-1634, 2013.
Artigo
em 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:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Síndromes Paraneoplásicas
/
Doenças da Medula Espinal
/
Coluna Vertebral
/
Encéfalo
/
Metilprednisolona
/
Acuidade Visual
/
Midríase
/
Doenças do Nervo Óptico
/
Neurite Óptica
/
Distúrbios Pupilares
Limite:
Idoso
/
Humanos
/
Masculino
Idioma:
Coreano
Revista:
Journal of the Korean Ophthalmological Society
Ano de publicação:
2013
Tipo de documento:
Artigo
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