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Neuromyelitis Optica and Concentric Rings of Balo in the Brainstem

机译:视Neuromyelitis Balo同心圆在脑干

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A 29-YEAR-OLD WOMAN of Afro-Caribbean descent with a history of thyrotoxico-sis was evaluated for right leg weakness and diagnosed as having myelitis. Three months later, she experienced painful vision loss in the right eye, paraplegia, an upper thoracic sensory level, and urinary retention. Results of an examination were consistent with optic neuritis and transverse myelitis. Magnetic resonance imaging showed a hyper-intense T2 signal in both optic nerves and an enhancing lesion in the thoracic spine. A serum sample was positive for neuromyelitis optica antibodies (titer, >= 1:120). She was treated with intravenous methylpredniso-lone sodium succinate and plasma-pheresis, which resulted in modest improvement
机译:一个29岁的女人的加勒比黑人血统thyrotoxico-sis是评估的历史右腿弱点和诊断脊髓炎。痛苦的右眼视力丧失,截瘫,上胸感觉水平和尿保留。与视神经炎和横向一致脊髓炎。在视神经和hyper-intense T2信号一个加强胸椎病变。血清样本neuromyelitis阳性视(效价,> = 1:120)的抗体。治疗静脉methylpredniso-lone琥珀酸钠和plasma-pheresis导致温和改善

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