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A case of chronic progressive myelopathy
Jun-Soon Kim1, Young Ho Park, Sung-Min Kim
1Department of Neurology, Seoul National University, College of Medicine, Seoul, Korea.
Neuromyelitis optica (NMO) typically presents with relapsing-remitting myelitis and optic neuritis. A patient with chronic progressive myelitis, a limited NMO form, improved with plasmapheresis, suggesting its benefit for progressive NMO cases.
Area of Science:
- Neuroimmunology
- Neurology
- Clinical Medicine
Background:
- Neuromyelitis optica (NMO) is an autoimmune disorder characterized by inflammation of the optic nerves and spinal cord.
- The typical presentation involves acute attacks of myelitis and optic neuritis with a relapsing-remitting course.
Observation:
- A case of chronic progressive myelitis over four months without remission is presented.
- This presentation was considered a limited form of neuromyelitis optica.
Findings:
- The patient with chronic progressive myelitis showed improvement following plasmapheresis treatment.
- This suggests plasmapheresis may be a viable therapeutic option for chronic progressive myelitis.
Implications:
- Plasmapheresis may benefit patients with chronic progressive myelitis, a potential NMO manifestation.
- This expands the therapeutic considerations for NMO beyond the typical relapsing-remitting course.
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