This Article  • Full text  • PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Related letter  • Similar articles in this journal  Topic Collections  • Neuro-ophthalmology  • Neurology, Other  • Radiologic Imaging  • Diagnosis  • Magnetic Resonance Imaging  • Alert me on articles by topic  Social Bookmarking   What's this?

Brian G. Weinshenker, MD

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

In reply

We appreciate the report by Guimarães and Sá of a Portuguese case of NMO in which our revised criteria facilitated a correct diagnosis. This patient has NMO based on contemporary clinical criteria: recurrent optic neuritis and recurrent transverse myelitis with cord lesion extending for at least 3 vertebral segments—in this case, for almost the entire cord. In the recent past, the diagnosis of NMO may have been rejected in favor of multiple sclerosis because of the patient's relapsing course, brain MRI abnormalities, and detection of multiple oligoclonal IgG bands in the spinal fluid. However, the severity of the clinical course predominantly affecting the optic nerve and spinal cord, lack of symptoms referable to the brain, and atypical nature of the brain MRI lesions for multiple sclerosis all point to NMO as the most likely diagnosis. The authors' astute interpretation of the clinical symptoms, signs, . . . [Full Text of this Article]

AUTHOR INFORMATION



CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

RELATED LETTER

Devic Disease With Abnormal Brain Magnetic Resonance Image Findings: The First Portuguese Case
Joana Guimarães and Maria José Sá
Arch Neurol. 2007;64(2):290-291.
EXTRACT | FULL TEXT