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Painful tonic spasms and brainstem involvement in a patient with neuromyelitis optica spectrum disorder
Affiliations- Neurology Department, Academic Emergency Hospital, “Lucian Blaga” University Sibiu, Sibiu, Romania
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Abstract
Neuromyelitis optica (NMO) is an inflammatory-demyelinating disease of the central nervous system classically characterized by optic neuritis and severe myelitis. New diagnostic criteria defined neuromyelitis optica spectrum disorder as limited forms of NMO or diverse neurologic presentations in the presence of specific antiaquaporin-4 antibodies. We report the case of a 57-year-old woman admitted in our department for recurrent attacks of optic neuritis, tetraparesis with severe painful tonic spasms of the left limbs and brainstem involvement. Painful tonic spasms have been described as movement disorders associated with multiple sclerosis, but a growing number of reports describe them in cases of NMO.
Abstract
Neuromyelitis optica (NMO) is an inflammatory-demyelinating disease of the central nervous system classically characterized by optic neuritis and severe myelitis. New diagnostic criteria defined neuromyelitis optica spectrum disorder as limited forms of NMO or diverse neurologic presentations in the presence of specific antiaquaporin-4 antibodies. We report the case of a 57-year-old woman admitted in our department for recurrent attacks of optic neuritis, tetraparesis with severe painful tonic spasms of the left limbs and brainstem involvement. Painful tonic spasms have been described as movement disorders associated with multiple sclerosis, but a growing number of reports describe them in cases of NMO.
Keywords
Painful tonic spasms, Neuromyelitis optica, Brainstem
About this articleTitle
Painful tonic spasms and brainstem involvement in a patient with neuromyelitis optica spectrum disorder
Journal
Neurologia i Neurochirurgia Polska
Issue
Pages
55-58
Page views
318
Article views/downloads
951
DOI
10.1016/j.pjnns.2015.10.010
Bibliographic record
Neurol Neurochir Pol 2016;50(1):55-58.
Keywords
Painful tonic spasms
Neuromyelitis optica
Brainstem
Authors
Corina Roman-Filip
Aurelian Ungureanu
Mihaela Cernuşcă-Miţaru
