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- Fumika Azuma, Kazuya Nokura, Tetsuharu Kako, Mari Yoshida, and Shinsui Tatsumi.
- Department of Neurology, Fujita Health University Bantane Hospital, Japan.
- Intern. Med. 2022 May 1; 61 (9): 1415-1422.
AbstractA 57-year-old woman presented with optic neuritis with repeated clinical symptoms of focal demyelination of the cerebral white matter and brain stem for 14 years. At the end of the patient's course, the clinical signs mimicked secondary progressive multiple sclerosis, but whether it was caused by interferon administration or neuromyelitis optica spectrum disorders (NMOSD) - or a combination of both or others - was unclear. Histopathological findings indicated the etiology to be NMOSD, with no apparent plaque in spinal cord specimens. This case suggests that an accurate clinical diagnosis requires serum anti-aquaporin 4 antibody measurements as well as an autopsy examination.
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