Neuromyelitis optica presenting as acute bilateral ptosis
Acute bilateral ptosis can be a hallmark of several serious neurological conditions. We present the first case of acute bilateral near-complete ptosis secondary to neuromyelitis optica spectrum disorder. We suggest that clinicians should consider this disorder among the differential diagnosis of acu...
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Published in | Practical neurology Vol. 17; no. 1; pp. 57 - 59 |
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Main Authors | , , |
Format | Journal Article |
Language | English |
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BMJ Publishing Group LTD
01.02.2017
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Abstract | Acute bilateral ptosis can be a hallmark of several serious neurological conditions. We present the first case of acute bilateral near-complete ptosis secondary to neuromyelitis optica spectrum disorder. We suggest that clinicians should consider this disorder among the differential diagnosis of acute bilateral ptosis, especially if there are other brainstem signs. |
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AbstractList | Acute bilateral ptosis can be a hallmark of several serious neurological conditions. We present the first case of acute bilateral near-complete ptosis secondary to neuromyelitis optica spectrum disorder. We suggest that clinicians should consider this disorder among the differential diagnosis of acute bilateral ptosis, especially if there are other brainstem signs. |
Author | Joshi, Purwa Bourke, David Lanford, Jeremy |
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References | Jarius, Paul, Franciotta 2011; 306 Waters, Reindle, Saiz 2016; 0 Palace, Leite, Jacob 2012; 12 Ruiz-Gaviria, Baracaldo, Castaneda 2015; 4 Ahmad, Wright, Lueck 2011; 11 Chan, Tse, Chung 2011; 68 Bogousslavsky, Maeder, Regli 1994; 44 Kim, Paul, Lana-Peixoto 2015; 84 Wingerchuk, Banwell, Bennett 2015; 85 Wingerchuk, Lennon, Lucchinetti 2007; 6 Ruiz-Gaviria (key-10.1136/practneurol-2016-001459-9) 2015; 4 Wingerchuk (key-10.1136/practneurol-2016-001459-4) 2015; 85 Jarius (key-10.1136/practneurol-2016-001459-10) 2011; 306 Wingerchuk (key-10.1136/practneurol-2016-001459-7) 2007; 6 Ahmad (key-10.1136/practneurol-2016-001459-1) 2011; 11 Chan (key-10.1136/practneurol-2016-001459-5) 2011; 68 Waters (key-10.1136/practneurol-2016-001459-8) 2016; 0 Bogousslavsky (key-10.1136/practneurol-2016-001459-2) 1994; 44 Palace (key-10.1136/practneurol-2016-001459-3) 2012; 12 Kim (key-10.1136/practneurol-2016-001459-6) 2015; 84 |
References_xml | – volume: 68 start-page: 1432 year: 2011 article-title: Brain involvement in neuromyelitis optica spectrum disorders publication-title: Arch Neurol. doi: 10.1001/archneurol.2011.249 contributor: fullname: Chung – volume: 84 start-page: 1165 year: 2015 article-title: MRI characteristics of neuromyelitis optica spectrum disorder publication-title: Neurology doi: 10.1212/WNL.0000000000001367 contributor: fullname: Lana-Peixoto – volume: 6 start-page: 805 year: 2007 article-title: The spectrum of neuromyelitis optica publication-title: Lancet Neurol doi: 10.1016/S1474-4422(07)70216-8 contributor: fullname: Lucchinetti – volume: 0 start-page: 1 year: 2016 article-title: Multicentre comparison of a diagnostic assay: aquaporin-4 antibodies in neuromyelitis optica publication-title: J Neurol Neurosurg Psychiatry contributor: fullname: Saiz – volume: 44 start-page: 2032 year: 1994 article-title: Pure midbrain infarction: Clinical syndromes, MRI and etiologic patterns publication-title: Neurology doi: 10.1212/WNL.44.11.2032 contributor: fullname: Regli – volume: 306 start-page: 82 year: 2011 article-title: Cerebrospinal fluid findings in aquaporin-4 antibody positive neuromyelitis optica: Results from 211 lumbar punctures publication-title: J Neurol Sci doi: 10.1016/j.jns.2011.03.038 contributor: fullname: Franciotta – volume: 4 start-page: 345 year: 2015 article-title: Specificity and sensitivity of aquaporin 4 antibody detection tests in patients with neuromyelitis optica: A meta analysis publication-title: Mult Scler Relat Disord doi: 10.1016/j.msard.2015.06.003 contributor: fullname: Castaneda – volume: 12 start-page: 209 year: 2012 article-title: A practical guide to the treatment of neuromyelitis optica publication-title: Pract Neurol doi: 10.1136/practneurol-2012-000237 contributor: fullname: Jacob – volume: 85 start-page: 177 year: 2015 article-title: International consensus diagnostic criteria for neuromyelitis optica spectrum disorders publication-title: Neurology doi: 10.1212/WNL.0000000000001729 contributor: fullname: Bennett – volume: 11 start-page: 332 year: 2011 article-title: Ptosis publication-title: Pract Neurol doi: 10.1136/practneurol-2011-000026 contributor: fullname: Lueck – volume: 0 start-page: 1 year: 2016 ident: key-10.1136/practneurol-2016-001459-8 article-title: Multicentre comparison of a diagnostic assay: aquaporin-4 antibodies in neuromyelitis optica publication-title: J Neurol Neurosurg Psychiatry contributor: fullname: Waters – volume: 44 start-page: 2032 year: 1994 ident: key-10.1136/practneurol-2016-001459-2 article-title: Pure midbrain infarction: Clinical syndromes, MRI and etiologic patterns publication-title: Neurology doi: 10.1212/WNL.44.11.2032 contributor: fullname: Bogousslavsky – volume: 4 start-page: 345 year: 2015 ident: key-10.1136/practneurol-2016-001459-9 article-title: Specificity and sensitivity of aquaporin 4 antibody detection tests in patients with neuromyelitis optica: A meta analysis publication-title: Mult Scler Relat Disord doi: 10.1016/j.msard.2015.06.003 contributor: fullname: Ruiz-Gaviria – volume: 306 start-page: 82 year: 2011 ident: key-10.1136/practneurol-2016-001459-10 article-title: Cerebrospinal fluid findings in aquaporin-4 antibody positive neuromyelitis optica: Results from 211 lumbar punctures publication-title: J Neurol Sci doi: 10.1016/j.jns.2011.03.038 contributor: fullname: Jarius – volume: 68 start-page: 1432 year: 2011 ident: key-10.1136/practneurol-2016-001459-5 article-title: Brain involvement in neuromyelitis optica spectrum disorders publication-title: Arch Neurol. doi: 10.1001/archneurol.2011.249 contributor: fullname: Chan – volume: 11 start-page: 332 year: 2011 ident: key-10.1136/practneurol-2016-001459-1 article-title: Ptosis publication-title: Pract Neurol doi: 10.1136/practneurol-2011-000026 contributor: fullname: Ahmad – volume: 12 start-page: 209 year: 2012 ident: key-10.1136/practneurol-2016-001459-3 article-title: A practical guide to the treatment of neuromyelitis optica publication-title: Pract Neurol doi: 10.1136/practneurol-2012-000237 contributor: fullname: Palace – volume: 85 start-page: 177 year: 2015 ident: key-10.1136/practneurol-2016-001459-4 article-title: International consensus diagnostic criteria for neuromyelitis optica spectrum disorders publication-title: Neurology doi: 10.1212/WNL.0000000000001729 contributor: fullname: Wingerchuk – volume: 84 start-page: 1165 year: 2015 ident: key-10.1136/practneurol-2016-001459-6 article-title: MRI characteristics of neuromyelitis optica spectrum disorder publication-title: Neurology doi: 10.1212/WNL.0000000000001367 contributor: fullname: Kim – volume: 6 start-page: 805 year: 2007 ident: key-10.1136/practneurol-2016-001459-7 article-title: The spectrum of neuromyelitis optica publication-title: Lancet Neurol doi: 10.1016/S1474-4422(07)70216-8 contributor: fullname: Wingerchuk |
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SubjectTerms | Aged Antibodies Aquaporins Blepharoptosis - blood Blepharoptosis - diagnostic imaging Blepharoptosis - drug therapy Cerebrospinal fluid Diagnosis, Differential Emergency medical care Encephalitis Female Glycoproteins Humans Immunoglobulins, Intravenous - therapeutic use Medical imaging Meningitis Myasthenia gravis Neuromyelitis Optica - blood Neuromyelitis Optica - diagnostic imaging Neuromyelitis Optica - drug therapy Syphilis |
Title | Neuromyelitis optica presenting as acute bilateral ptosis |
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