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Neuromyelitis optica with brainstem lesion mistaken for brainstem glioma. Case report.

Authors
 Keun Young Park  ;  Jung Yong Ahn  ;  Kyu Sung Lee  ;  Young Chul Choi  ;  Jun Hyung Cho 
Citation
 JOURNAL OF NEUROSURGERY, Vol.107(3) : 251-254, 2007 
Journal Title
 JOURNAL OF NEUROSURGERY 
ISSN
 0022-3085 
Issue Date
2007
MeSH
Brain Stem/metabolism ; Brain Stem/pathology* ; Brain Stem Neoplasms/metabolism ; Brain Stem Neoplasms/pathology* ; Child ; Diagnosis, Differential ; Diagnostic Errors* ; Female ; Glioma/metabolism ; Glioma/pathology* ; Humans ; Magnetic Resonance Imaging ; Magnetic Resonance Spectroscopy ; Myelitis/metabolism ; Myelitis/pathology ; Neuromyelitis Optica/metabolism ; Neuromyelitis Optica/pathology* ; Prognosis
Abstract
Neuromyelitis optica (NMO) is a severe demyelinating syndrome defined principally by its tendency to affect optic nerves and the spinal cord selectively. Asymptomatic brain lesions have recently become a common finding in NMO, and symptomatic brain lesions do not exclude the diagnosis of this entity. The authors describe the case of a 12-year-old girl suffering from an unusually atypical form of NMO in which a brainstem lesion was mistaken for a brainstem glioma. Brainstem involvement in NMO exhibits variable features on neuroimaging and is confused with brainstem glioma in cases of extensive brainstem involvement in childhood. Careful differential diagnosis and proper treatment are vital for a favorable prognosis.
Full Text
http://thejns.org/doi/full/10.3171/PED-07/09/251
DOI
10.3171/PED-07/09/251
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurology (신경과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers
Yonsei Authors
Ahn, Jung Yong(안정용)
Lee, Kyu Sung(이규성)
Cho, Jun Hyung(조준형)
Choi, Young Chul(최영철) ORCID logo https://orcid.org/0000-0001-5525-6861
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/96490
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