Neuromyelitis optica spectrum disorder mimicking cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy with symmetrical lesions in the temporal poles and external capsules on MRI.

Brain Cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy External capsule Neuromyelitis optica spectrum disorder Temporal pole

Journal

Neuroradiology
ISSN: 1432-1920
Titre abrégé: Neuroradiology
Pays: Germany
ID NLM: 1302751

Informations de publication

Date de publication:
29 Aug 2024
Historique:
received: 03 04 2024
accepted: 20 08 2024
medline: 31 8 2024
pubmed: 31 8 2024
entrez: 29 8 2024
Statut: aheadofprint

Résumé

Symmetrical lesions in the temporal poles and external capsules on brain MRI are known as radiological markers of cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL); however, similar imaging findings have also been reported in neuromyelitis optica spectrum disorder (NMOSD), and this study investigated the frequency of such findings. The study included 55 NMOSD patients who met the 2015 international NMO diagnosis panel (IPND) criteria and were positive for aquaporin-4 antibodies (AQP4-Ab). Images were evaluated based on the consensus of two neuroradiologists, and brain lesions were detected in 33 patients, of whom 2 (6%) had symmetrical lesions in both the temporal poles and external capsules, and 1 (3%) had symmetrical lesions confined to the external capsules. Therefore, when symmetrical lesions in the temporal poles and external capsules are observed on MRI, NMOSD should be considered in the differential diagnosis.

Identifiants

pubmed: 39207553
doi: 10.1007/s00234-024-03458-0
pii: 10.1007/s00234-024-03458-0
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.

Références

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Auteurs

Yasuyuki Kojita (Y)

Department of Radiology, Kindai University Faculty of Medicine, 377-2 Onohigashi, Osakasayama-shi, 589-8511, Osaka, Japan. y.kojita10312@gmail.com.

Atsushi K Kono (AK)

Department of Radiology, Kindai University Faculty of Medicine, 377-2 Onohigashi, Osakasayama-shi, 589-8511, Osaka, Japan.

Takahiro Yamada (T)

Department of Radiology, Kindai University Faculty of Medicine, 377-2 Onohigashi, Osakasayama-shi, 589-8511, Osaka, Japan.

Minoru Yamada (M)

Department of Radiology, Kindai University Faculty of Medicine, 377-2 Onohigashi, Osakasayama-shi, 589-8511, Osaka, Japan.

Sung-Woon Im (SW)

Department of Radiology, Kindai University Faculty of Medicine, 377-2 Onohigashi, Osakasayama-shi, 589-8511, Osaka, Japan.

Takenori Kozuka (T)

Department of Radiology, Kindai University Faculty of Medicine, 377-2 Onohigashi, Osakasayama-shi, 589-8511, Osaka, Japan.

Hayato Kaida (H)

Department of Radiology, Kindai University Faculty of Medicine, 377-2 Onohigashi, Osakasayama-shi, 589-8511, Osaka, Japan.

Motoi Kuwahara (M)

Department of Radiology, Kindai University Faculty of Medicine, 377-2 Onohigashi, Osakasayama-shi, 589-8511, Osaka, Japan.

Yoshitaka Nagai (Y)

Department of Radiology, Kindai University Faculty of Medicine, 377-2 Onohigashi, Osakasayama-shi, 589-8511, Osaka, Japan.

Kazunari Ishii (K)

Department of Radiology, Kindai University Faculty of Medicine, 377-2 Onohigashi, Osakasayama-shi, 589-8511, Osaka, Japan.

Classifications MeSH