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Mult Scler Relat Disord · Mar 2016
Case ReportsTrigeminal autonomic cephalalgia as a presenting feature of Neuromyelitis Optica: "A rare combination of two uncommon disorders".
- Thomas Mathew, Uday Shanker Nadimpally, Sarma G R K GRK St.John's Medical College and Hospital, India. Electronic address: grk_sarma@yahoo.com., and Raghunandan Nadig.
- St.John's Medical College and Hospital, India. Electronic address: chakkuthom@hotmail.com.
- Mult Scler Relat Disord. 2016 Mar 1; 6: 73-74.
AbstractNeuromyelitis Optica (NMO) can have atypical presentations like hiccups, vomiting, etc. which is classically described as the area postrema syndrome. Here we report a case of a 39 year old male patient who presented with features of Trigeminal Autonomic Cephalalgia (TAC). MRI spine showed long segment myelitis. Diagnosis of NMO was confirmed by a positive Anti aquaporin 4 antibody assay. TACs are a rare group of headache disorders characterized by severe unilateral headache in the V1 distribution of the trigeminal nerve and autonomic symptoms. This presentation in NMO is hitherto unreported in literature. Copyright © 2016 Elsevier B.V. All rights reserved.
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