NEUROMYELITIS OPTICA: A RARE CASE WITH ATYPICAL PRESENTATION

Ashish Anand Pushpakar*, Satyam Kumar Singh, Jaydeep Raj Damor, Vibhesh Raj, Dr. Ranjan Bhatnagar, Dr. Ravi Tandon

ABSTRACT

Neuromyelitis optica is a rare disease presenting with bilateral optic neuritis with severe visual loss and longitudinal extensive transverse myelitis involving three or more contiguous vertebral segments. We are reporting a case of a 35 year old lady who presented with tingling and numbness in all 4 limbs with a history of 10 days. The diagnosis was made after a clinical history, examination, MRI of the whole spine and Lab investigations. Patient was managed conservatively and recovery was seen on subsequent follow up. Though patient was not presented typically as NMO presents, where transverse myelitis or MS are probable diagnosis but we should keep NMO to avoid unnecessary cost of treatment and patient distress.

Keywords: Neuromyelitis optica, Optic neuritis, Transverse myelitis, Endocrinopathy, Pleocytosis, Astrocytopathy.