A case of cerebral aquaporinopathy
A 35-year-old woman was hospitalized due to impaired consciousness. Magnetic resonance imaging (MRI) revealed multiple parenchymal lesions in supra and infratentorial brain regions, which were considered responsible for her declining consciousness level. She was treated with intravenous methylpredni...
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Veröffentlicht in: | Multiple sclerosis 2010-10, Vol.16 (10), p.1252-1254 |
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description | A 35-year-old woman was hospitalized due to impaired consciousness. Magnetic resonance imaging (MRI) revealed multiple parenchymal lesions in supra and infratentorial brain regions, which were considered responsible for her declining consciousness level. She was treated with intravenous methylprednisolone. Neurological symptoms improved and she was discharged. She was readmitted 14 months later due to intractable hiccups. A follow-up brain MRI revealed an abnormal signal near the area postrema in the dorsal medulla. Serum aquaporin-4 antibody levels were positive, but there were no visual manifestations or myelitis. Spinal MRI was negative for longitudinally extended transverse myelitis throughout the clinical course. |
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Magnetic resonance imaging (MRI) revealed multiple parenchymal lesions in supra and infratentorial brain regions, which were considered responsible for her declining consciousness level. She was treated with intravenous methylprednisolone. Neurological symptoms improved and she was discharged. She was readmitted 14 months later due to intractable hiccups. A follow-up brain MRI revealed an abnormal signal near the area postrema in the dorsal medulla. Serum aquaporin-4 antibody levels were positive, but there were no visual manifestations or myelitis. Spinal MRI was negative for longitudinally extended transverse myelitis throughout the clinical course.</description><identifier>ISSN: 1352-4585</identifier><identifier>EISSN: 1477-0970</identifier><identifier>DOI: 10.1177/1352458510377906</identifier><identifier>PMID: 20670980</identifier><identifier>CODEN: MUSCFZ</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Adult ; Anti-Inflammatory Agents - therapeutic use ; Antibodies ; Antibodies - analysis ; Antibodies, Antineutrophil Cytoplasmic - immunology ; Aquaporin 4 ; Aquaporin 4 - immunology ; Area postrema ; Area Postrema - pathology ; Biological and medical sciences ; Brain ; Brain - pathology ; Consciousness ; Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases ; Female ; Hiccup - etiology ; Humans ; Intravenous administration ; Magnetic Resonance Imaging ; Medical sciences ; Medulla oblongata ; Medulla Oblongata - pathology ; methylprednisolone ; Methylprednisolone - therapeutic use ; Multiple sclerosis ; Myelitis ; Myelitis, Transverse - immunology ; Myelitis, Transverse - pathology ; Myeloblastin - analysis ; Myeloblastin - immunology ; Neurologic Examination ; Neurology ; Neuromyelitis Optica - pathology ; Peroxidase - analysis ; Peroxidase - immunology ; Recurrence ; Spinal Cord - pathology ; Vascular diseases and vascular malformations of the nervous system</subject><ispartof>Multiple sclerosis, 2010-10, Vol.16 (10), p.1252-1254</ispartof><rights>The Author(s) 2010</rights><rights>2015 INIST-CNRS</rights><rights>SAGE Publications © Oct 2010</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c523t-42fa409c2e9d8506ba1218f7d7704eb5444919804bb9b83b054a40f150e7514d3</citedby><cites>FETCH-LOGICAL-c523t-42fa409c2e9d8506ba1218f7d7704eb5444919804bb9b83b054a40f150e7514d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/1352458510377906$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/1352458510377906$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,776,780,21799,27903,27904,43600,43601</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=23404194$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20670980$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tanaka, A.</creatorcontrib><creatorcontrib>Yoshida, T.</creatorcontrib><creatorcontrib>Yamada, T.</creatorcontrib><creatorcontrib>Isayama, R.</creatorcontrib><creatorcontrib>Fujiwara, Y.</creatorcontrib><creatorcontrib>Shiga, K.</creatorcontrib><creatorcontrib>Yamada, K.</creatorcontrib><creatorcontrib>Tanaka, K.</creatorcontrib><creatorcontrib>Nakagawa, M.</creatorcontrib><title>A case of cerebral aquaporinopathy</title><title>Multiple sclerosis</title><addtitle>Mult Scler</addtitle><description>A 35-year-old woman was hospitalized due to impaired consciousness. Magnetic resonance imaging (MRI) revealed multiple parenchymal lesions in supra and infratentorial brain regions, which were considered responsible for her declining consciousness level. She was treated with intravenous methylprednisolone. Neurological symptoms improved and she was discharged. She was readmitted 14 months later due to intractable hiccups. A follow-up brain MRI revealed an abnormal signal near the area postrema in the dorsal medulla. Serum aquaporin-4 antibody levels were positive, but there were no visual manifestations or myelitis. Spinal MRI was negative for longitudinally extended transverse myelitis throughout the clinical course.</description><subject>Adult</subject><subject>Anti-Inflammatory Agents - therapeutic use</subject><subject>Antibodies</subject><subject>Antibodies - analysis</subject><subject>Antibodies, Antineutrophil Cytoplasmic - immunology</subject><subject>Aquaporin 4</subject><subject>Aquaporin 4 - immunology</subject><subject>Area postrema</subject><subject>Area Postrema - pathology</subject><subject>Biological and medical sciences</subject><subject>Brain</subject><subject>Brain - pathology</subject><subject>Consciousness</subject><subject>Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases</subject><subject>Female</subject><subject>Hiccup - etiology</subject><subject>Humans</subject><subject>Intravenous administration</subject><subject>Magnetic Resonance Imaging</subject><subject>Medical sciences</subject><subject>Medulla oblongata</subject><subject>Medulla Oblongata - pathology</subject><subject>methylprednisolone</subject><subject>Methylprednisolone - therapeutic use</subject><subject>Multiple sclerosis</subject><subject>Myelitis</subject><subject>Myelitis, Transverse - immunology</subject><subject>Myelitis, Transverse - pathology</subject><subject>Myeloblastin - analysis</subject><subject>Myeloblastin - immunology</subject><subject>Neurologic Examination</subject><subject>Neurology</subject><subject>Neuromyelitis Optica - pathology</subject><subject>Peroxidase - analysis</subject><subject>Peroxidase - immunology</subject><subject>Recurrence</subject><subject>Spinal Cord - pathology</subject><subject>Vascular diseases and vascular malformations of the nervous system</subject><issn>1352-4585</issn><issn>1477-0970</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqN0c1LwzAUAPAgitPp3ZOMgXiqvnz1Nccx_IKBFz2XJE21o2u7ZD3svzdj08FA9JTA-70vHiFXFO4oRbynXDIhM0mBIypIj8gZFYgJKITj-I_hZBMfkPMQ5gCAyOUpGTBIEVQGZ2Q8GVkd3KgtR9Z5Z7yuR3rZ6671VdN2evW5viAnpa6Du9y9Q_L--PA2fU5mr08v08kssZLxVSJYqQUoy5wqMgmp0ZTRrMQCEYQzUgihaOwpjFEm4wakiL6kEhxKKgo-JLfbup1vl70Lq3xRBevqWjeu7UOu5GYVwfBfMtbk8KdEmaYpzYBFOT6Q87b3TVw4IqlURpWKCLbI-jYE78q889VC-3VOId9cJD-8SEy53tXtzcIVPwnfJ4jgZgd0sLouvW5sFfaOCxBUieiSrQv6w-2H-7XxF9L-muc</recordid><startdate>20101001</startdate><enddate>20101001</enddate><creator>Tanaka, A.</creator><creator>Yoshida, T.</creator><creator>Yamada, T.</creator><creator>Isayama, R.</creator><creator>Fujiwara, Y.</creator><creator>Shiga, K.</creator><creator>Yamada, K.</creator><creator>Tanaka, K.</creator><creator>Nakagawa, M.</creator><general>SAGE Publications</general><general>Sage Publications</general><general>Sage Publications Ltd</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7T5</scope><scope>7TK</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9-</scope><scope>K9.</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20101001</creationdate><title>A case of cerebral aquaporinopathy</title><author>Tanaka, A. ; Yoshida, T. ; Yamada, T. ; Isayama, R. ; Fujiwara, Y. ; Shiga, K. ; Yamada, K. ; Tanaka, K. ; Nakagawa, M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c523t-42fa409c2e9d8506ba1218f7d7704eb5444919804bb9b83b054a40f150e7514d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Adult</topic><topic>Anti-Inflammatory Agents - therapeutic use</topic><topic>Antibodies</topic><topic>Antibodies - analysis</topic><topic>Antibodies, Antineutrophil Cytoplasmic - immunology</topic><topic>Aquaporin 4</topic><topic>Aquaporin 4 - immunology</topic><topic>Area postrema</topic><topic>Area Postrema - pathology</topic><topic>Biological and medical sciences</topic><topic>Brain</topic><topic>Brain - pathology</topic><topic>Consciousness</topic><topic>Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases</topic><topic>Female</topic><topic>Hiccup - etiology</topic><topic>Humans</topic><topic>Intravenous administration</topic><topic>Magnetic Resonance Imaging</topic><topic>Medical sciences</topic><topic>Medulla oblongata</topic><topic>Medulla Oblongata - pathology</topic><topic>methylprednisolone</topic><topic>Methylprednisolone - therapeutic use</topic><topic>Multiple sclerosis</topic><topic>Myelitis</topic><topic>Myelitis, Transverse - immunology</topic><topic>Myelitis, Transverse - pathology</topic><topic>Myeloblastin - analysis</topic><topic>Myeloblastin - immunology</topic><topic>Neurologic Examination</topic><topic>Neurology</topic><topic>Neuromyelitis Optica - pathology</topic><topic>Peroxidase - analysis</topic><topic>Peroxidase - immunology</topic><topic>Recurrence</topic><topic>Spinal Cord - pathology</topic><topic>Vascular diseases and vascular malformations of the nervous system</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tanaka, A.</creatorcontrib><creatorcontrib>Yoshida, T.</creatorcontrib><creatorcontrib>Yamada, T.</creatorcontrib><creatorcontrib>Isayama, R.</creatorcontrib><creatorcontrib>Fujiwara, Y.</creatorcontrib><creatorcontrib>Shiga, K.</creatorcontrib><creatorcontrib>Yamada, K.</creatorcontrib><creatorcontrib>Tanaka, K.</creatorcontrib><creatorcontrib>Nakagawa, M.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>ProQuest Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Multiple sclerosis</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tanaka, A.</au><au>Yoshida, T.</au><au>Yamada, T.</au><au>Isayama, R.</au><au>Fujiwara, Y.</au><au>Shiga, K.</au><au>Yamada, K.</au><au>Tanaka, K.</au><au>Nakagawa, M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A case of cerebral aquaporinopathy</atitle><jtitle>Multiple sclerosis</jtitle><addtitle>Mult Scler</addtitle><date>2010-10-01</date><risdate>2010</risdate><volume>16</volume><issue>10</issue><spage>1252</spage><epage>1254</epage><pages>1252-1254</pages><issn>1352-4585</issn><eissn>1477-0970</eissn><coden>MUSCFZ</coden><abstract>A 35-year-old woman was hospitalized due to impaired consciousness. Magnetic resonance imaging (MRI) revealed multiple parenchymal lesions in supra and infratentorial brain regions, which were considered responsible for her declining consciousness level. She was treated with intravenous methylprednisolone. Neurological symptoms improved and she was discharged. She was readmitted 14 months later due to intractable hiccups. A follow-up brain MRI revealed an abnormal signal near the area postrema in the dorsal medulla. Serum aquaporin-4 antibody levels were positive, but there were no visual manifestations or myelitis. Spinal MRI was negative for longitudinally extended transverse myelitis throughout the clinical course.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>20670980</pmid><doi>10.1177/1352458510377906</doi><tpages>3</tpages></addata></record> |
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subjects | Adult Anti-Inflammatory Agents - therapeutic use Antibodies Antibodies - analysis Antibodies, Antineutrophil Cytoplasmic - immunology Aquaporin 4 Aquaporin 4 - immunology Area postrema Area Postrema - pathology Biological and medical sciences Brain Brain - pathology Consciousness Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases Female Hiccup - etiology Humans Intravenous administration Magnetic Resonance Imaging Medical sciences Medulla oblongata Medulla Oblongata - pathology methylprednisolone Methylprednisolone - therapeutic use Multiple sclerosis Myelitis Myelitis, Transverse - immunology Myelitis, Transverse - pathology Myeloblastin - analysis Myeloblastin - immunology Neurologic Examination Neurology Neuromyelitis Optica - pathology Peroxidase - analysis Peroxidase - immunology Recurrence Spinal Cord - pathology Vascular diseases and vascular malformations of the nervous system |
title | A case of cerebral aquaporinopathy |
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