A Case of Neuromyelitis Optica Masquerading as Miller Fisher Syndrome

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Presentation transcript:

A Case of Neuromyelitis Optica Masquerading as Miller Fisher Syndrome Case Rep Neurol 2014;6:226-231 - DOI:10.1159/000368183 Fig. 1.a Eye movement test profile showing bilateral abduction deficit with right dominance. At presentation, the patient had esotropia in the primary position. b Axial fluid-attenuated inversion recovery MRI showing hyperintense areas (left panel) in the tegmentum of the pons with right dominance (top left) and the dorsal medulla oblongata including the area postrema (bottom left). No significant changes were noted in the optic nerves (middle panel). A sagittal spinal T2-weighted MRI revealed a longitudinal lesion (right panel). © 2014 S. Karger AG, Basel - CC BY-NC 3.0

A Case of Neuromyelitis Optica Masquerading as Miller Fisher Syndrome Case Rep Neurol 2014;6:226-231 - DOI:10.1159/000368183 Fig. 2.a Images of axial fluid-attenuated inversion recovery MRI after IVMP showing diminishment of the hyperintense lesions (left panel) in the tegmentum of the pons (top left) and the dorsal medulla oblongata including the area postrema (bottom left). A sagittal spinal T2-weighted MRI revealed diminishment of the hyperintense lesions (right panel). b Visual field test scores for the left eye from the Humphrey Field Analyzer 30-2 program, at the onset of optic neuritis (left) and after additional steroid pulse and plasma exchange (right). c Coronal (left panel) and axial (right panel) contrast-enhanced MRI showing swelling and enhancement of the bilateral optic nerves. © 2014 S. Karger AG, Basel - CC BY-NC 3.0