A case of neuromyelitis optica masquerading as miller fisher syndrome.

Abstract

A 22-year-old woman presented with double vision that she had experienced since an infection 2 weeks previously. A neurological examination showed limited bilateral eye abduction, mimicking Miller Fisher syndrome. However, T2-weighted magnetic resonance imaging of her brain revealed hyperintense areas in the tegmentum of the pons, including the abducens nucleus, and her serum anti-aquaporin-4 antibody test was positive. She was finally diagnosed with neuromyelitis optica. Intravenous high-dose steroid therapy immediately improved the patient's abduction palsy, but bilateral optic neuritis manifested during the treatment. Subsequent treatment with plasma exchange improved her optic neuritis symptoms.

• Authors: Yuka Furutani, Masayuki Hata, Kazuaki Miyamoto, Yusaku Moribata, Nagahisa Yoshimura
• Journal: Case reports in neurology (Case Rep Neurol) Vol. 6 Issue 3 Pg. 226-31 (Sep 2014) ISSN: 1662-680X [Print] Switzerland
• PMID: 25408664 (Publication Type: Case Reports)