Recurrent neuromyelitis optica with diffuse central nervous system involvement: case report

Arquivos de Neuro-Psiquiatria

Renan B. Domingues²  Gustavo W. Kuster²  Flávio Lanes¹  Dagoberto Callegaro¹ 

[1] ,Santa Casa de Misericórdia Escola de Medicina Vitória ES ,Brasil

关键词: neuromyelitis optica;    Devic's disease;    multiple sclerosis;    neuromielite óptica;    doença de Devic;    esclerose múltipla;   

DOI  :  10.1590/S0004-282X2004000300032

来源: SciELO

【 摘 要 】

Several demyelinating disorders can affect children. The differential diagnosis between these diseases is usually an arduous task. Diagnostic criteria have been proposed for some of these disorders, however most of them have not yet been clinically and prospectively validated. Here we present a case of a ten year-old boy with recurrent bilateral optic neuritis and spinal cord involvement. Clinical and cerebrospinal fluid data have fulfilled diagnostic criteria for Devic's neuromyelitis optica (NMO). The differential diagnosis with multiple sclerosis (MS) has become troublesome since not only optic nerves and spinal cord were involved. In one of the relapses a left hemiparesis with facial involvement was registered. Magnetic resonance imaging was also compatible with MS. This case illustrates that CNS demyelinating disorders can fulfill diagnostic criteria for more than one demyelinating disease, making the clinical judgment an important tool in the management of these patients.

【 授权许可】

CC BY   
 All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License