Neuromyelitis optica spectrum disorder

Case contributed by Rajarajan , 30 Jun 2016
Diagnosis almost certain
Changed by Daniel J Bell, 31 Oct 2020

Updates to Case Attributes

Title was changed:
Neuromyelitis optica (periaqueductal hyperintensities)spectrum disorder
Presentation was changed:
Patient a known case ofKnown neuromyelitis optica, on follow up, with significant improvement. Now presented with complaints of ataxia. Patient was referred to MRI to look for any new lesions.
Age changed from 48 years to 50 years.
Body was changed:

A case of known neuromyelitis optica, for follow up. The periaqueductal hyperintensities which are consistent with aquaporin distribution site is more favourable for a diagnosis of neuromyelitis rather than multiple sclerosis.

  • -<p>A case of known neuromyelitis optica, for follow up. The periaqueductal hyperintensities which are consistent with aquaporin distribution site is more favourable for neuromyelitis rather than multiple sclerosis.</p>
  • +<p>A case of known <a title="Neuromyelitis optica spectrum disorder" href="/articles/neuromyelitis-optica-spectrum-disorder">neuromyelitis optica</a>, for follow up. The <a title="Periaqueductal grey matter" href="/articles/periaqueductal-grey-matter-1">periaqueductal</a> hyperintensities which are consistent with <a title="Aquaporin" href="/articles/aquaporin">aquaporin</a> distribution is more favourable for a diagnosis of neuromyelitis than <a title="Multiple sclerosis" href="/articles/multiple-sclerosis">multiple sclerosis</a>.</p>

Updates to Link Attributes

Title was removed:
Neuromyelitis optica (periaqueductal hyperintensities)
Type was removed.
Visible was set to .

Updates to Primarylink Attributes

Updates to Study Attributes

Findings was changed:

MRI brain study revealed peri-aqueductal hyper-intensities inPeriaqueductal hyperintensities on T2 and FLAIR images with minimal diffusion restriction. No new focal lesions were detected. The optic nerve was relatively normal in present study. SpineCervical spinal MRI for follow up was also done which alsoand did not revealdemonstrate any focal lesions.

Images Changes:

Image MRI (FLAIR) ( update )

Description was removed:
Axial Flair images shows peri-aqueductal hyperintensities

Image MRI (DWI) ( update )

Description was removed:
Diffusion images shows minimal restriction

Image MRI (FLAIR) ( update )

Description was removed:
FLAIR images reveals same

Image MRI (T2 fat sat) ( update )

Description was removed:
orbits appears unremarkable

Image MRI (T2) ( update )

Description was removed:
Sagittal cervical spine images did not reveal any cord lesions

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