A Case of Neuromyelitis Optica Masquerading as Miller Fisher Syndrome

A 22-year-old woman presented with double vision that she had experienced since an infection 2 weeks previously. A neurological examination showed limited bilateral eye abduction, mimicking Miller Fisher syndrome. However, T2-weighted magnetic resonance imaging of her brain revealed hyperintense are...

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Autores principales: Furutani, Yuka, Hata, Masayuki, Miyamoto, Kazuaki, Moribata, Yusaku, Yoshimura, Nagahisa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: S. Karger AG 2014
Materias:
Published online: October, 2014
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4224235/
https://www.ncbi.nlm.nih.gov/pubmed/25408664
http://dx.doi.org/10.1159/000368183
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author Furutani, Yuka
Hata, Masayuki
Miyamoto, Kazuaki
Moribata, Yusaku
Yoshimura, Nagahisa
author_facet Furutani, Yuka
Hata, Masayuki
Miyamoto, Kazuaki
Moribata, Yusaku
Yoshimura, Nagahisa
author_sort Furutani, Yuka
collection PubMed
description A 22-year-old woman presented with double vision that she had experienced since an infection 2 weeks previously. A neurological examination showed limited bilateral eye abduction, mimicking Miller Fisher syndrome. However, T2-weighted magnetic resonance imaging of her brain revealed hyperintense areas in the tegmentum of the pons, including the abducens nucleus, and her serum anti-aquaporin-4 antibody test was positive. She was finally diagnosed with neuromyelitis optica. Intravenous high-dose steroid therapy immediately improved the patient's abduction palsy, but bilateral optic neuritis manifested during the treatment. Subsequent treatment with plasma exchange improved her optic neuritis symptoms.
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spelling pubmed-42242352014-11-18 A Case of Neuromyelitis Optica Masquerading as Miller Fisher Syndrome Furutani, Yuka Hata, Masayuki Miyamoto, Kazuaki Moribata, Yusaku Yoshimura, Nagahisa Case Rep Neurol Published online: October, 2014 A 22-year-old woman presented with double vision that she had experienced since an infection 2 weeks previously. A neurological examination showed limited bilateral eye abduction, mimicking Miller Fisher syndrome. However, T2-weighted magnetic resonance imaging of her brain revealed hyperintense areas in the tegmentum of the pons, including the abducens nucleus, and her serum anti-aquaporin-4 antibody test was positive. She was finally diagnosed with neuromyelitis optica. Intravenous high-dose steroid therapy immediately improved the patient's abduction palsy, but bilateral optic neuritis manifested during the treatment. Subsequent treatment with plasma exchange improved her optic neuritis symptoms. S. Karger AG 2014-10-04 /pmc/articles/PMC4224235/ /pubmed/25408664 http://dx.doi.org/10.1159/000368183 Text en Copyright © 2014 by S. Karger AG, Basel http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article licensed under the terms of the Creative Commons Attribution-NonCommercial 3.0 Unported license (CC BY-NC) (www.karger.com/OA-license), applicable to the online version of the article only. Users may download, print and share this work on the Internet for noncommercial purposes only, provided the original work is properly cited, and a link to the original work on http://www.karger.com and the terms of this license are included in any shared versions.
spellingShingle Published online: October, 2014
Furutani, Yuka
Hata, Masayuki
Miyamoto, Kazuaki
Moribata, Yusaku
Yoshimura, Nagahisa
A Case of Neuromyelitis Optica Masquerading as Miller Fisher Syndrome
title A Case of Neuromyelitis Optica Masquerading as Miller Fisher Syndrome
title_full A Case of Neuromyelitis Optica Masquerading as Miller Fisher Syndrome
title_fullStr A Case of Neuromyelitis Optica Masquerading as Miller Fisher Syndrome
title_full_unstemmed A Case of Neuromyelitis Optica Masquerading as Miller Fisher Syndrome
title_short A Case of Neuromyelitis Optica Masquerading as Miller Fisher Syndrome
title_sort case of neuromyelitis optica masquerading as miller fisher syndrome
topic Published online: October, 2014
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4224235/
https://www.ncbi.nlm.nih.gov/pubmed/25408664
http://dx.doi.org/10.1159/000368183
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