NMO Spectrum Disorder or Mass?
Nesibe Yildiz Akbulut1, Ahmet Kasim Kilic1, Dilek Yavuzer2, Tufan Hicdonmez3, Banu Ozen Barut11Department of Neurology, SBU Kartal Dr. Lutfi Kirdar Training and Research Hospital, Istanbul, Türkiye2Department of Pathology, SBU Kartal Dr. Lutfi Kirdar Training and Research Hospital, İstanbul, Türkiye
3Department of Neurosurgery, SBU Kartal Dr. Lutfi Kirdar Training and Research Hospital, İstanbul, Türkiye
Longitudinally extensive transverse myelitis (LETM) generally present a destructive clinical syndrome which has come into focus for its association with neuromyelitis optica spectrum disease (NMOSD). In clinical practice, both LETM and NMO have a close relation so they thought to be synonymous with each other. Other causes of LETM are infective, neoplastic and connective tissue disorders. Similar symptoms and even similar CSF abnormalities can cause difficulties in differential diagnosis. In suspicious cases, beside more detailed history, tight observation of clinical progress and follow-up MRI, pathological evaluation can be helpful to certain diagnosis.
Keywords: Demyelinization, glial tumor, nmo, spinal mass.
NMO mu? Kitle mi?
Nesibe Yildiz Akbulut1, Ahmet Kasim Kilic1, Dilek Yavuzer2, Tufan Hicdonmez3, Banu Ozen Barut112
3
Longitudinal yayılan transverse miyelit, genellikle Nöromyelitis Optika Spektrum Hastalıkları ile ilişkili ağır bir kinik sendrom olarak ortaya çıkar. Ancak etiolojide otoimmün nedenler yanında enfektif, neoplastik ve bağ doku hastalıkları ile ilişkili süreçler bulunabililr. Benzer semptomlar ve BOS bulguları ayırıcı tanıda zorluğa sebep olabilir. Şüphe durumunda; ayrıntılı öykü, yakın klinik ve görüntüleme yanında patolojik değerlendirme doğru tanıya ulaşmada yönlendirici olabililr.
Anahtar Kelimeler: Demiyelinizan, glial tumor, nmo, spinal kitle.
Manuscript Language: English