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Neuromyelitis optica spectrum disorders accompanying subarachnoid hemorrhage and reversible white matter lesions

机译：伴有蛛网膜下腔出血和可逆性白质病变的视神经脊髓炎光谱疾病

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A 48-year-old man was admitted to Tomakomai City Hospital, Tomakomai, Japan, because of intractable hiccups and nausea, and orthostatic hypotension.Brain magnetic resonance imaging findings showed a dorsal medullary lesion. Respiratory failure occurred, and he underwent tracheotomy and mechanical ventilationwhen magnetic resonance imaging showed subarachnoid hemorrhage in addition to enlarged medullary lesions. Serum anti-aquaporin-4 antibody was positiveand the cerebrospinal fluid was bloody. We diagnosed meuromyelitis optica spectrum disorders complicating subarachnoid hemorrhage. He was treated with a steroid. Although extensive white matter lesions occurred transiently, the patient was discharged from the hospital when he became able to walk with the use of the walker on the 52nd day. We suggest that the subarachnoid hemorrhage and transient white matter lesions were associated with vascular damage associated with the meuromyelitis optica spectrum disorders.
机译：一名48岁的男子因顽固的打ic，恶心和体位性低血压而被送往日本Tom小牧市Tom小牧市立医院。脑部磁共振成像结果显示有背髓样病变。发生呼吸衰竭，并在磁共振成像显示蛛网膜下腔出血以及扩大的髓样病变时进行了气管切开和机械通气。血清抗aquaporin-4抗体阳性，脑脊液带血。我们诊断出视神经脊髓炎光谱异常并发蛛网膜下腔出血。他接受了类固醇的治疗。尽管广泛的白质损伤是短暂发生的，但患者在第52天开始使用助行器行走时已出院。我们建议，蛛网膜下腔出血和短暂性白质病变与视神经脊髓炎光谱障碍相关的血管损伤有关。

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