Consciousness disturbance and poikilothermia revealing brain involvement in neuromyelitis optica

被引：6
|
作者：
Yildiz, Ozlem Kayim [1 ]
Cevik, Seyda [1 ]
Oztoprak, Ibrahim [2 ]
机构：
[1] Cumhuriyet Univ, Sch Med, Dept Neurol, TR-58140 Sivas, Turkey
[2] Cumhuriyet Univ, Sch Med, Dept Radiol, TR-58140 Sivas, Turkey
来源：
ACTA NEUROLOGICA BELGICA | 2012年 / 112卷 / 02期
关键词：
Neuromyelitis optica; Brain lesions; Hypothalamic lesions; Consciousness disturbance; Poikilothermia; Endocrinopathy;
D O I：
10.1007/s13760-012-0029-x
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
A 21-year-old woman was admitted due to altered mental status and hypothermia. The patient had a diagnosis of neuromyelitis optica (NMO) for 12 years and she was positive for serum anti-aquaporin 4 antibody. On admission, physical examination revealed coma with decerebration rigidity and poikilothermia. Magnetic resonance images of the brain revealed widespread, gadolinium enhancing lesions in the periventricular areas and the diencephalic structures. Laboratory investigations revealed hyponatremia and hypothyroidism. The patient was treated with high dose steroids. Both symptomatic and asymptomatic brain lesions may develop in patients with NMO. However, poikilothermia has not been reported in patients with NMO before.
引用
收藏
页码：213 / 215
页数：3
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