Nöromiyelitis optika: Olgu sunumu

Amaç: Nöromiyelitis optika ya da Devic hastalýðý optik sinirler ve omuriliði tutan, nadir görülen, genellikle aðýr sekellerle seyreden enflamatuar ve demiyelinizan natürde santral sinir sisteminin otoimmun bir hastalýðýdýr. Sunumun amacý nadir görülen bu hastalýðý ve taný kriterlerini gözden geçirmektir.
Olgu: Özgeçmiþinde dört ay önce görme kaybý tanýmlayan ve üst ekstremitelerde belirgin kuadriparezi tablosuyla kliniðimize baþvuran 63 yaþýndaki hasta muayene, laboratuvar bulgularý ve manyetik rezonans görüntüleri ile deðerlendirilmiþ ve nöromiyelitis optika tanýsý almýþtýr.
Sonuç: Geçirilmiþ optik nörit, transvers miyelit ve özellikle aquapurin 4 pozitifliði saptanarak yeni ve eski kriterlere göre taný alan olgu ve ayýrýcý tanýsý literatür ýþýðýnda tartýþýlmýþtýr.

Neuromyelitis optica: case report

Objective: Neuromyelitis optica or Devic’s disease is a rare inflammatory demyelinating autoimmune disease of the central nervous system which affects the spinal cord and optic nerves and usually associated with increased disability and morbidity. The purpose of this case report is to present this rare disease and focus on the diagnosis criteria.
Case: A 63-year-old female patient defining visual loss 4 months ago and admitted to our clinic with prominent quadriparesis of the upper extremities was evaluated with examination, laboratory findings, and MRI and diagnosed with neuromyelitis optica.
Result: The case which was diagnosed according to the new and old criteria with detected previous optic neuritis, transverse myelitis and particularly aquaporin 4 positivity and its differential diagnosis were discussed in the light of the literature.