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
Hauptverfasser: Tanaka, A., Yoshida, T., Yamada, T., Isayama, R., Fujiwara, Y., Shiga, K., Yamada, K., Tanaka, K., Nakagawa, M.
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container_end_page 1254
container_issue 10
container_start_page 1252
container_title Multiple sclerosis
container_volume 16
creator Tanaka, A.
Yoshida, T.
Yamada, T.
Isayama, R.
Fujiwara, Y.
Shiga, K.
Yamada, K.
Tanaka, K.
Nakagawa, M.
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.
doi_str_mv 10.1177/1352458510377906
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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. 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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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