Relapsing White Matter Disease and Subclinical Optic Neuropathy : From the National Multiple Sclerosis Society Case Conference Proceedings
A 16-year-old adolescent boy presented with recurrent episodes of weakness and numbness. Brain MRI demonstrated subcortical, juxtacortical, and periventricular white matter T2 hyperintensities with gadolinium enhancement. CSF was positive for oligoclonal bands that were not present in serum. Despite treatment with steroids, IV immunoglobulins, plasmapheresis, and rituximab, he continued to have episodes of weakness and numbness and new areas of T2 hyperintensity on imaging. Neuro-ophthalmologic examination revealed a subclinical optic neuropathy with predominant involvement of the papillomacular bundle. Genetic evaluation and brain biopsy led to an unexpected diagnosis.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2024 |
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| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:11 |
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| Enthalten in: |
Neurology(R) neuroimmunology & neuroinflammation - 11(2024), 2 vom: 13. Jan., Seite e200194 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
O'Neill, Kimberly A [VerfasserIn] |
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| Links: |
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| Themen: |
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| Anmerkungen: |
Date Completed 08.01.2024 Date Revised 26.01.2024 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1212/NXI.0000000000200194 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM366719343 |
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| 520 | |a A 16-year-old adolescent boy presented with recurrent episodes of weakness and numbness. Brain MRI demonstrated subcortical, juxtacortical, and periventricular white matter T2 hyperintensities with gadolinium enhancement. CSF was positive for oligoclonal bands that were not present in serum. Despite treatment with steroids, IV immunoglobulins, plasmapheresis, and rituximab, he continued to have episodes of weakness and numbness and new areas of T2 hyperintensity on imaging. Neuro-ophthalmologic examination revealed a subclinical optic neuropathy with predominant involvement of the papillomacular bundle. Genetic evaluation and brain biopsy led to an unexpected diagnosis | ||
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| 700 | 1 | |a Balcer, Laura J |e verfasserin |4 aut | |
| 700 | 1 | |a Branche, Marc |e verfasserin |4 aut | |
| 700 | 1 | |a Galetta, Steven |e verfasserin |4 aut | |
| 700 | 1 | |a Graves, Jennifer |e verfasserin |4 aut | |
| 700 | 1 | |a Kister, Ilya |e verfasserin |4 aut | |
| 700 | 1 | |a Magro, Cynthia |e verfasserin |4 aut | |
| 700 | 1 | |a Miller, Claire |e verfasserin |4 aut | |
| 700 | 1 | |a Newsome, Scott D |e verfasserin |4 aut | |
| 700 | 1 | |a Pappas, John |e verfasserin |4 aut | |
| 700 | 1 | |a Rucker, Janet |e verfasserin |4 aut | |
| 700 | 1 | |a Steigerwald, Connolly |e verfasserin |4 aut | |
| 700 | 1 | |a William, Christopher M |e verfasserin |4 aut | |
| 700 | 1 | |a Zamvil, Scott S |e verfasserin |4 aut | |
| 700 | 1 | |a Grossman, Scott N |e verfasserin |4 aut | |
| 700 | 1 | |a Krupp, Lauren B |e verfasserin |4 aut | |
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