Research paper Sera from neuromyelitis optica patients disrupt the blood–brain barrier Fumitaka Shimizu1, Yasuteru Sano1, Toshiyuki Takahashi2, Hiroyo Haruki1, Kazuyuki Saito1, Michiaki Koga1, Takashi Kanda1 + Author Affiliations 1Department of Neurology and Clinical Neuroscience, Yamaguchi University Graduate School of Medicine, Ube, Japan 2Department of Neurology, Tohoku University Graduate School of Medicine, Miyagi, Japan Correspondence to Dr T Kanda, Department of Neurology and Clinical Neuroscience, Yamaguchi University Graduate School of Medicine, 1-1-1, Minamikogushi, Ube, Yamaguchi 7558505, Japan; tkanda@yamaguchi-u.ac.jp Contributors FS and TK conceived and designed the study. All authors reviewed, amended and agreed on the final version of the manuscript.
Diagnostic utility of NMO/AQP4-IgG in evaluating CNS inflammatory disease in Thai patients. Apiwattanakul M, Asawavichienjinda T, Pulkes T, Tantirittisak T, Hemachudha T, Horta ES, Jenkins SM, Pittock SJ. Source Department of Neurology, Prasat Neurological Institute, Bangkok, Thailand
Neuromyelitis optica.
Painful Tonic Spasm in Neuromyelitis Optica Incidence, Diagnostic Utility, and Clinical Characteristics Sung-Min Kim, MD; Min Jin Go, MS; Jung-Joon Sung, MD, PhD; Kyung Seok Park, MD, PhD; Kwang-Woo Lee, MD, PhD Arch Neurol.
A population-based study of neuromyelitis optica in Caucasians N.
Naznin A.
Koji Shinoda Department of Neurology, Neurological Institute, Graduate School of Medical Sciences, Kyushu University, Japan Takuya Matsushita Department of Clinical Neuroimmunology, Graduate School of Medical Sciences, Kyushu University, Japan Konosuke Furuta Department of Neurology, Neurological Institute, Graduate School of Medical Sciences, Kyushu University, Japan Noriko Isobe Department of Neurology, Neurological Institute, Graduate School of Medical Sciences, Kyushu University, Japan Tomomi Yonekawa Department of Neurology, Neurological Institute, Graduate School of Medical Sciences, Kyushu University, Japan Yasumasa Ohyagi Department of Neurology, Neurological Institute, Graduate School of Medical Sciences, Kyushu University, Japan Jun-ichi Kira kira@neuro.med.kyushu-u.ac.jp Department of Neurology, Neurological Institute, Graduate School of Medical Sciences, Kyushu University, Japan Abstract This report describes, for the first time, an occurrence of wall-eyed bilateral internuclear ophthalmoplegia (WEBINO) in a 19-year-old female with neuromyelitis optica (NMO) spectrum disorder, who had anti-aquaporin-4 (AQP4) antibody. A high signal intensity lesion on T2-weighted MRI was detected in the midbrain tegmentum adjacent to the aqueduct, and presumably involved the medial longitudinal fasciculus bilaterally at the caudal levels. Plasma exchange resolved both WEBINO syndrome and the midbrain lesion
Since the discovery in 2004 of NMO-IgG, the autoantibody associated with neuromyelitis optica (NMO),1 neurologists are increasingly relying on the NMO-IgG test to rule in or rule out NMO. Related disorders like optic neuritis (ON), transverse myelitis (TM), acute disseminated encephalomyelitis (ADEM), and longitudinally extensive TM (LETM; 3 spinal cord vertebral segments) can all be monophasic or multiphasic, can occur together or individually, and can occur in adults or children. Similarly, multiple sclerosis (MS) is often confused with these disorders, especially early in the disease.