Neuromyelitis Optica Spectrum Disorder Complicated by Posterior Reversible Encephalopathy Syndrome as an Initial Manifestation.
anti-SS-A antibody
anti-aquaporin-4 antibody
neuromyelitis optica spectrum disorder
posterior reversible encephalopathy syndrome
Journal
Internal medicine (Tokyo, Japan)
ISSN: 1349-7235
Titre abrégé: Intern Med
Pays: Japan
ID NLM: 9204241
Informations de publication
Date de publication:
01 Aug 2020
01 Aug 2020
Historique:
pubmed:
24
4
2020
medline:
9
1
2021
entrez:
24
4
2020
Statut:
ppublish
Résumé
A 25-year-old woman was admitted to our hospital due to tonic convulsion with severe headache after having experienced symptoms of nausea and vomiting for a month. Brain magnetic resonance imaging showed extensive symmetrical lesions in the cortical and subcortical areas of parieto-occipital lobes and basal ganglia, consistent with typical characteristics of posterior reversible encephalopathy syndrome (PRES). Furthermore, some residual lesions in the left side of dorsal medulla oblongata and central area of the cervical spinal cord along with the presence of serum anti-aquaporin-4 antibody yielded the diagnosis of neuromyelitis optica spectrum disorder (NMOSD). We herein discuss the mechanism by which PRES may occur together with NMOSD.
Identifiants
pubmed: 32321890
doi: 10.2169/internalmedicine.4226-19
pmc: PMC7474992
doi:
Substances chimiques
Aquaporin 4
0
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1887-1890Références
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