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  • Title: Teaching neuroimages: neuromyelitis optica misdiagnosed as spinal cord tumor.
    Author: Tsivgoulis G, Kontokostas S, Boviatsis E, Bonakis A, Stefanis L, Voumvourakis K.
    Journal: Neurology; 2014 Jan 28; 82(4):e33. PubMed ID: 24470607.
    Abstract:
    A 17-year-old girl presented with acute-onset cervical pain, followed by left arm weakness and gait disturbances. Spinal cord astrocytoma was diagnosed by MRI performed at an outpatient facility (figure, A and B). The patient was admitted to the neurosurgery department to undergo spinal cord biopsy. A second neurologic evaluation indicated neuromyelitis optica (NMO) as the most likely diagnosis, which was confirmed by NMO-immunoglobulin G seropositivity. The patient was treated with rescue plasmapheresis with substantial clinical and radiologic (figure, C) improvement.
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