Hokkaido University Collection of Scholarly and Academic Papers >
Graduate School of Medicine / Faculty of Medicine >
Peer-reviewed Journal Articles, etc >
Neuromyelitis optica spectrum disorders accompanying subarachnoid hemorrhage and reversible white matter lesions
Title: | Neuromyelitis optica spectrum disorders accompanying subarachnoid hemorrhage and reversible white matter lesions |
Authors: | Shirai, Shinichi Browse this author | Mito, Yasunori Browse this author | Nojo, Tatsuru Browse this author | Yaguchi, Hiroaki Browse this author | Takahashi, Toshiyuki Browse this author | Sato, Kazunori Browse this author | Hirotani, Makoto Browse this author →KAKEN DB | Kano, Takahiro Browse this author | Yabe, Ichiro Browse this author →KAKEN DB | Sasaki, Hidenao Browse this author →KAKEN DB |
Keywords: | Neuromyelitis optica | subarachnoid hemorrhage | posterior reversible encephalopathy syndrome | anti-Aquaporin 4 antibody |
Issue Date: | Jan-2014 |
Publisher: | Wiley |
Journal Title: | Neurology and Clinical Neuroscience |
Volume: | 2 |
Issue: | 1 |
Start Page: | 10 |
End Page: | 12 |
Publisher DOI: | 10.1111/ncn3.68 |
Abstract: | A 48-year-old man was admitted to Tomakomai City Hospital, Tomakomai, Japan, because of intractable hiccups and nausea, and orthostatic hypotension. Brain magnetic resonance imaging findings showed a dorsal medullary lesion. Respiratory failure occurred, and he underwent tracheotomy and mechanical ventilation when magnetic resonance imaging showed subarachnoid hemorrhage in addition to enlarged medullary lesions. Serum anti-aquaporin-4 antibody was positive and the cerebrospinal fluid was bloody. We diagnosed meuromyelitis optica spectrum disorders complicating subarachnoid hemorrhage. He was treated with a steroid. Although extensive white matter lesions occurred transiently, the patient was discharged from the hospital when he became able to walk with the use of the walker on the 52nd day. We suggest that the subarachnoid hemorrhage and transient white matter lesions were associated with vascular damage associated with the meuromyelitis optica spectrum disorders. |
Type: | article (author version) |
URI: | http://hdl.handle.net/2115/57873 |
Appears in Collections: | 医学院・医学研究院 (Graduate School of Medicine / Faculty of Medicine) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)
|
Submitter: 矢部 一郎
|