Case Report | Open Access
Department of Neurology, Ibn Rochd Hospital, Hassan II University, Faculty of Medicine and Pharmacy - Rue Tarik Ibn Ziad, 20000, Casablanca, Morocco.
Department of Neurology, Ibn Rochd Hospital, Hassan II University, Faculty of Medicine and Pharmacy - Rue Tarik Ibn Ziad, 20000, Casablanca, Morocco.
Department of Neurology, Ibn Rochd Hospital, Hassan II University, Faculty of Medicine and Pharmacy - Rue Tarik Ibn Ziad, 20000, Casablanca, Morocco. Genetics Laboratory, Hassan II University, Faculty of Medicine and Pharmacy, Casablanca, Morocco. Research Laboratory on Diseases of the Nervous System, Neurosensory and Handicap, Hassan II University, Faculty of Medicine and Pharmacy, Casablanca, Morocco.
Department of Neurology, Ibn Rochd Hospital, Hassan II University, Faculty of Medicine and Pharmacy - Rue Tarik Ibn Ziad, 20000, Casablanca, Morocco. Genetics Laboratory, Hassan II University, Faculty of Medicine and Pharmacy, Casablanca, Morocco.
Department of Neurology, Ibn Rochd Hospital, Hassan II University, Faculty of Medicine and Pharmacy - Rue Tarik Ibn Ziad, 20000, Casablanca, Morocco. Genetics Laboratory, Hassan II University, Faculty of Medicine and Pharmacy, Casablanca, Morocco.
Department of Neurology, Ibn Rochd Hospital, Hassan II University, Faculty of Medicine and Pharmacy - Rue Tarik Ibn Ziad, 20000, Casablanca, Morocco. Research Laboratory on Diseases of the Nervous System, Neurosensory and Handicap, Hassan II University, Faculty of Medicine and Pharmacy, Casablanca, Morocco.
Abstract
Symptom onset in Neuromyelitis Optica spectrum disorder (NMOSD) is often acute, while sudden onset is rare and suggests vascular causes. We report the case of a 63-year-old woman who had two sudden attacks, blindness in the left eye and weakness of the lower limbs. The presence of a diencephalic hypersignal around the third ventricle and a bright spotty lesion on the MRI had evoked the NMOSD diagnosis which was confirmed by positive anti-aquaporin 4 antibodies in the serum. The patient was treated with cyclophosphamide with no relapses after 6 months of treatment. Few case reports have been published on this subject, testifying to the rarity of this "pseudo-vascular" mode of revelation of NMOSD, which may be a source of diagnostic error or delay.
Keywords:
Neuromyelitis Optica spectrum disorder, pseudo-vascular, spinal cord infarction, myelitis
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Copyright © 2024 Kamal Haddouali NEH. Sguiar Lhamdani S. Bellakhdar H. El Otmani B. El Moutawakil MA. Rafai this is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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