Manouchehri N, Nehzat N, Mirmosayeb O, Shaygannejad V, Barzegar M. Tumefactive Brain Lesions in Patients with Neuromyelitis Optica Spectrum Disorder. Caspian J Neurol Sci 2019; 5 (2) :96-100
URL:
http://cjns.gums.ac.ir/article-1-257-en.html
1- Isfahan Neuroscience Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
2- Isfahan Neuroscience Research Center, Isfahan University of Medical Sciences, Isfahan, Iran , v.shaygannejad@gmail.com
Abstract: (2750 Views)
Background: Neuromyelitis Optica Spectrum Disorder (NMOSD) is an autoimmune neurological disorder that is characterized by optic neuritis and longitudinally-extended transverse myelitis lesions in spinal segments. Magnetic Resonance Imaging (MRI) findings are part of the diagnostic process in NMOSD patients, and abnormal lesion patterns may cause deviation from a correct diagnosis.
Clinical Presentation and Intervention: A 43-year-old female patient with abrupt cognitive loss, motor dysfunction and tumefactive spread of the demyelinating lesions in her brain presented to the Neurology Clinic of Kashani Hospital. Anti Aquaporine 4(AQP-4) antibody was observed, and the patient responded well to the NMOSD treatment.
Conclusion: NMOSD can be considered a differential diagnosis during an episode of Fulminant Demyelinating Disorder (FDD) with the tumefactive spread of the lesions.
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● Brain lesions in NMOSD are rare, but should consideration for diagnosis.
● NMOSD should be a differential diagnosis for patients with tumefactive brain lesions.
Type of Study:
case report |
Subject:
Special Received: 2019/01/19 | Accepted: 2019/02/27 | Published: 2019/04/1