alexa Neuromyelitis Optica Spectrum Disorder: A Case Report
ISSN: 2376-0389

Journal of Multiple Sclerosis
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Case Report

Neuromyelitis Optica Spectrum Disorder: A Case Report

Karine Beiruti*, Saad Abu Saleh, Marcelo Daitzchman and Radi Shahien

Department of Neurology, Ziv Medical Center, Safed, Israel

*Corresponding Author:
Karine Beiruti
Department of Neurology
Ziv Medical Center, Safed
13100, Israel
Tel: +972528082424
E-mail: karine.b@ziv.health.gov.il

Received date: December 11, 2016; Accepted date: December 22, 2016; Published date: December 30, 2016

Citation: Beiruti K, Saleh SA, Daitzchman M, Shahien R (2016) Neuromyelitis Optica Spectrum Disorder: A Case Report. J Mult Scler (Foster City) 3:192. doi:10.4172/2376-0389.1000192

Copyright: © 2016 Beiruti K, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited

 

Abstract

A 66 year old woman suffering from recurrent attacks of neuropathic burning pain over the past 6 years, affecting first the sacral region and then progressively different locations on the face, was referred to our facility. She had severe paraparesis and signs of brainstem dysfunction leading to respiratory failures. After an extensive investigation including brain and spinal cord MRI and laboratory findings, such as positive test for aquaporin-4 immunoglobulin G antibodies (AQP4-IgG), the patient was found to suffer from neuromyelitis optica spectrum disorder (NMOSD) without optic neuritis. She was initially treated with corticosteroids followed by plasmapheresis. She partially recovered regarding her respiratory function but remained paraplegic. She was placed on azathioprine and died a few months afterwards.

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