Paraneoplastic neuromyelitis optica spectrum disorder: A case report and review of the literature

. 2018 Feb ; 48 () : 7-10. [epub] 20171110

Jazyk angličtina Země Scotland Médium print-electronic

Typ dokumentu kazuistiky, časopisecké články, přehledy

Perzistentní odkaz   https://www.medvik.cz/link/pmid29133107
Odkazy

PubMed 29133107
DOI 10.1016/j.jocn.2017.10.030
PII: S0967-5868(17)31075-5
Knihovny.cz E-zdroje

Neuromyelitis optica spectrum disorders (NMOSD) are demyelinating, autoimmune diseases affecting the central nervous system. Typically, recurrent optic neuritis and longitudinal extensive transverse myelitis dominates the clinical picture. In most cases NMOSD are associated with autoantibodies targeting the water channel aquaporin-4 (AQP-4). NMOSD usually present in young adults. Clinical findings suggestive of NMOSD in elderly patients should raise the suspicion of a paraneoplastic etiology. To our knowledge, we report the first case of a 66 year-old female patient with paraneoplastic NMOSD that is associated with squamous cell lung carcinoma. Anti-AQP-4 was present in both the serum and cerebrospinal fluid of the patient. However, immunhistological staining of the malignant tissue did not show presence of AQP-4 on the surface of tumour cells.

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