A Case of Devic's Neuromyelitis Optica with Pulmonary Tuberculosis.
- Author:
Sang Joon JUNG
1
;
Kee Hyung PARK
;
Hee Tae KIM
;
Myung Ho KIM
Author Information
1. Department of Neurology, College of Medicine, Hanyang University.
- Publication Type:Case Report
- Keywords:
Neuromyelitis optica;
Pulmonary tuberculosis;
Immune reaction
- MeSH:
Aged;
Central Nervous System;
Humans;
Lower Extremity;
Lung;
Magnetic Resonance Imaging;
Myelitis;
Neurologic Examination;
Neuromyelitis Optica*;
Paraparesis;
Reflex, Babinski;
Spinal Cord;
Thorax;
Tuberculosis;
Tuberculosis, Pulmonary*
- From:Journal of the Korean Neurological Association
2000;18(1):85-88
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Neuromyelitis optica (Devic's syndrome) is characterized by acute bilateral visual loss (optic neuritis), acute trans-verse myelitis, near simultaneous development of these optic and spinal symptoms, no other symptoms and involve-ment of the central nervous system. Sporadic reports of patients with neuromyelitis optica in association with tubercu-losis confined to the lungs have appeared over the last years. A 67-year-old man presented with visual disturbance and sudden onset of lower limb weakness. On neurological examination, bilateral visual loss, flaccid paraparesis, hypesthe-sia below T2 dermatome, and extensor plantar responses were noted. Chest X-ray revealed bilateral nodular densities in the upper lung fields and a fluorochrome stain for tuberculosis was positive. Magnetic resonance imaging showed spinal cord swelling and high signal intensity (T2WI) in thoracic spinal cord. We report a case of neuromyelitis optica with pulmonary tuberculosis. It is suggested that this condition might caused by an immune reaction to tuberculosis rather than the use of antituberculosis medication.
