UNMASKING THE MASQUERADER – NEUROMYELITIS OPTICA : A CASE REPORT
P.V. Venkataramanappa, Dinesh K.R.*, Viswanth C. and Giriraja K.V.
ABSTRACT
Background: Neuromyelitis optica (NMO) is an inflammatory and auto-immune demyelinating disease which dwindles the quality of life. The disease course is waxing and waning with spectrum of manifestations. Diagnosing the case based on presentation, clinical history and appropriate investigations at the earliest is of extreme importance as prompt intervention and maintenance of remission is pivotal in determining the quality of life. Hence we intended to present one such case of typical NMO. Case Report: We illustrate the case of a 35-year-old female patient enduring frequent bouts of vision abnormalities and progressive muscle weakness over a decade. The patient was diagnosed as multiple sclerosis and was on chronic steroid therapy but futile. While detailed examination, clinical acumen and investigations helped this young lady in ascertaining the cause of her woe as NMO and culminated in apt and successful treatment. Conclusion: Intensive research, awareness and education of primary care physicians armed with comprehensive knowledge alongside timely diagnosis, recognition of complications and prompt referral to higher centres will advance the patient to obtain timely intervention ensuing in averting predictable complications and leading a life of contentment.
Keywords: Neuromyelitis optica, Neuromyelitis optica spectrum disorder, autoimmune, demyelinating, NMO, NMOSD.
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