Consciousness disturbance and poikilothermia revealing brain involvement in neuromyelitis optica

Yildiz Ö., ÇEVİK GÜNERİ Ş., ÖZTOPRAK İ.

ACTA NEUROLOGICA BELGICA, cilt.112, sa.2, ss.213-215, 2012 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 112 Sayı: 2
  • Basım Tarihi: 2012
  • Doi Numarası: 10.1007/s13760-012-0029-x
  • Dergi Adı: ACTA NEUROLOGICA BELGICA
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.213-215
  • Sivas Cumhuriyet Üniversitesi Adresli: Evet

Özet

A 21-year-old woman was admitted due to altered mental status and hypothermia. The patient had a diagnosis of neuromyelitis optica (NMO) for 12 years and she was positive for serum anti-aquaporin 4 antibody. On admission, physical examination revealed coma with decerebration rigidity and poikilothermia. Magnetic resonance images of the brain revealed widespread, gadolinium enhancing lesions in the periventricular areas and the diencephalic structures. Laboratory investigations revealed hyponatremia and hypothyroidism. The patient was treated with high dose steroids. Both symptomatic and asymptomatic brain lesions may develop in patients with NMO. However, poikilothermia has not been reported in patients with NMO before.