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A Rare Case of Neuromyelitis Optica Spectrum Disorder in Patient with Sjogren’s Syndrome
Joint Authors
Thongpooswan, Supat
Chapagain, Bikash
Bandagi, Sabiha
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-11-19
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
We report a 48-year-old female with the history of Sjogren’s syndrome who presented with 3-week history of tingling, numbness, and shooting back, waist, and bilateral leg pain and numbness in the pelvic region with urinary and bowel incontinence.
Physical examination was remarkable for reduced motor power in both lower extremities with spasticity.
Sensory deficit was noted at the T6 level.
Laboratory investigation revealed elevated ESR and CRP and positive serum antiaquaporin-4 IgG.
Thoracic and lumbar magnetic resonance imaging revealed abnormal patchy areas, leptomeningeal enhancement through the thoracic cord extending from T3 through T6 levels, without evidence of cord compression.
Impression of neuromyelitis optica spectrum disorder was made and patient was treated with methylprednisolone intravenously followed by tapering oral prednisone.
Neurological symptoms gradually improved with resolution of bowel and urinary incontinence.
In a patient with Sjogren’s syndrome who presents with neurological complaints, the possibility of neuromyelitis optica or neuromyelitis optica spectrum disorder should be considered.
Awareness of the possibility of CNS disease is important due to the serious nature of CNS complications, some of which are treatable with immunosuppressants.
Our patient with Sjogren’s syndrome who presented with myelopathy benefited from early recognition and institution of appropriate therapy.
American Psychological Association (APA)
Thongpooswan, Supat& Chapagain, Bikash& Bandagi, Sabiha. 2014. A Rare Case of Neuromyelitis Optica Spectrum Disorder in Patient with Sjogren’s Syndrome. Case Reports in Rheumatology،Vol. 2014, no. 2014, pp.1-3.
https://search.emarefa.net/detail/BIM-1034960
Modern Language Association (MLA)
Thongpooswan, Supat…[et al.]. A Rare Case of Neuromyelitis Optica Spectrum Disorder in Patient with Sjogren’s Syndrome. Case Reports in Rheumatology No. 2014 (2014), pp.1-3.
https://search.emarefa.net/detail/BIM-1034960
American Medical Association (AMA)
Thongpooswan, Supat& Chapagain, Bikash& Bandagi, Sabiha. A Rare Case of Neuromyelitis Optica Spectrum Disorder in Patient with Sjogren’s Syndrome. Case Reports in Rheumatology. 2014. Vol. 2014, no. 2014, pp.1-3.
https://search.emarefa.net/detail/BIM-1034960
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1034960