Rituximab in Neuromyelitis Optica Spectrum Disorders-Reply: Why Not as First-Line Therapy. fwesselman@thegjcf.org 8 years ago JAMA Neurol. 2017 Apr 1;74(4):482-483. doi: 10.1001/jamaneurol.2016.5936. Damato V1, Evoli A1, Iorio R2.