Concomitant abducens and facial nerve palsies: A rare presentation in anti-aquaporin-4 antibody-positive neuromyelitis optica.
Acute brainstem syndrome
anti-aquaporin-4 antibody
concomitant facial and abducens nerve palsies
neuromyelitis optic
Journal
Taiwan journal of ophthalmology
ISSN: 2211-5072
Titre abrégé: Taiwan J Ophthalmol
Pays: India
ID NLM: 101582127
Informations de publication
Date de publication:
Historique:
received:
16
07
2019
accepted:
27
09
2019
entrez:
28
10
2020
pubmed:
29
10
2020
medline:
29
10
2020
Statut:
epublish
Résumé
Over the past decade, the discovery of disease-specific aquaporin-4 antibodies has led to a better understanding of the diverse spectrum of disorders that are associated with neuromyelitis optica. Brainstem manifestations have been increasingly recognized in this disease. However, multiple cranial nerve palsies as an initial presentation of neuromyelitis optica are uncommon. We report a rare case of anti-aquaporin-4 antibody-positive neuromyelitis optica that presented with unilateral abducens and facial nerve palsies. Notably, this case did not involve the optic nerve or the spinal cord. Diagnosing neuromyelitis optica that presents as an isolated acute brainstem syndrome is challenging, but the outcome may be devastating if the diagnosis is delayed.
Identifiants
pubmed: 33110759
doi: 10.4103/tjo.tjo_69_19
pii: TJO-10-235
pmc: PMC7585481
doi:
Types de publication
Case Reports
Langues
eng
Pagination
235-238Informations de copyright
Copyright: © 2019 Taiwan J Ophthalmol.
Déclaration de conflit d'intérêts
The authors declare that there are no conflicts of interests of this paper.
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