Aquaporin-4 Antibodies in Neuromyelitis Optica and Longitudinally Extensive Transverse Myelitis

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Aquaporin-4 antibodies in neuromyelitis optica and longitudinally extensive transverse myelitis.

BACKGROUND There is increasing recognition of antibody-mediated immunotherapy-responsive neurologic diseases and a need for appropriate immunoassays. OBJECTIVES To develop a clinically applicable quantitative assay to detect the presence of aquaporin-4 (AQP4) antibodies in patients with neuromyelitis optica and to characterize the anti-AQP4 antibodies. DESIGN We compared a simple new quanti...

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Longitudinally extensive transverse myelitis with and without aquaporin 4 antibodies.

IMPORTANCE Aquaporin 4 antibody (AQP4-Ab)-negative patients with longitudinally extensive transverse myelitis (LETM) behave differently from those with AQP4-Ab. Aquaporin 4 antibody-negative neuromyelitis optica (NMO) is rare when good assays are used. OBJECTIVE To assess if AQP4-Ab-negative patients with LETM share similar disease characteristics with AQP4-Ab-positive patients or whether the...

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Longitudinally extensive myelitis in MS mimicking neuromyelitis optica

A 23-year-old Caucasian woman developed simultaneous onset longitudinally extensive transverse myelitis (LETM; figure, A.a) and left optic neuritis. She had no significant neurologic history, but her brother had MS. At nadir, she had Medical Research Council grade 2/5 power in the lower limbs and a sensory level at T4. MRI of the brain identified lesions within the right middle cerebellar pedun...

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Hemorrhagic Longitudinally Extensive Transverse Myelitis

Longitudinally extensive transverse myelitis (LETM) may be associated with viral triggers, including both infections and vaccinations. We present a case of a healthy immunocompetent 33-year-old woman who developed a hemorrhagic LETM 2 weeks after seasonal influenza vaccination. Hemorrhagic LETM has not to our knowledge been reported after influenza vaccination. It may represent a forme fruste v...

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Longitudinally extensive transverse myelitis with AQP4 antibodies revealing ovarian teratoma.

Paraneoplastic myelitis is a rare inflammatory disorder most frequently associated with solid tumors or lymphoproliferative disorders. Patients often harbor onconeuronal antibodies and their prognosis is usually poor. Here we report a 42-year old woman with longitudinally extensive transverse myelitis and aquaporin-4 (AQP4) antibodies that led to the diagnosis of ovarian teratoma. After tumor r...

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ژورنال

عنوان ژورنال: Archives of Neurology

سال: 2008

ISSN: 0003-9942

DOI: 10.1001/archneur.65.7.913