Abstract

CONDORI BUSTILLOS, Rocío; CORTEZ CHAVEZ, Mauricio Ramiro; RAMOS MORALES, Juan Mauricio  and  RODRIGUEZ SANDOVAL, Wilfredo Erick. Myelopathy Devic disease: case report and review of literature. Rev Cient Cienc Méd [online]. 2016, vol.19, n.2, pp.48-54. ISSN 2077-3323.

Neuromyelitis Optica, also known as Devic's disease, is a demyelinating disease whose prevalence is very low; it is characterized by inflammation and the creation of antibodies against the central nervous system, respecting the brain but compromising the optic nerve and spinal cord changes giving.The presence of serum antibodies: aquaporin-4 immunoglobulin G is the reason why it differed from multiple sclerosis which was formerly part as a variant of clinical presentation.The clinical picture of this disease is characterized by loss of visual acuity and transverse myelitis. Clinical case: the case of a patient investigated for a period of approximately 5 months with no risk factors, goes to Caja Petrolera de Sauld because of pain in the left lumbar region, oppressive type, high intensity and difficulty is presented stand accompanied by acute left lower extremity paresis, with no improvement even after administration of Quetorol®, after discarding several diseases led to the diagnosis of a possible diagnosis of myelopathy associated with Devic's disease. Discussion:This disease is very heterogeneous in its presentation, so the diagnostic criteria were modified and reached a new consensus: The new nomenclature defines the unifying term Neuromyelitis Optica and Neuromyelitis Optica Spectrum Disorder, which stratifies more by serological tests for this patient also supported by Magnetic Resonance; identifying this case exclusion methods.

Keywords : Tneuritis; transverse myelitis; Immunoglobulin G; aquaporin 4.

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