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Akut Görme Kaybının Nadir Bir Nedeni: Nöromyelitis Optika

Year 2014, Volume: 5 Issue: 1, 24 - 26, 01.01.2014

Mustafa Serinken Mücahit Avcil Bekir Dağlı Emrah Uyanık

Abstract

Giriş: Nöromyelitis optika (NMO) nadir görülen fakat şiddetli bir
demyelizan hastalıktır. Bu yazıda, acil servise ani görme kaybı
şikâyeti ile gelen ve yapılan araştırmalar sonucunda NMO tanısı
alan bir olgu sunulmuştur.
Olgu Sunumu: Bir haftadır zaman zaman bulanık görme yakınmaları
olan 38 yaşında kadın hasta, acil servisimize ani görme
kaybı şikâyeti ile başvurdu. Hastaya acil serviste öncelikle kranial
bilgisayarlı tomografi çekildi. Herhangi patolojiye rastlanmadı.
Optik nörit düşünülen hastada toksik madde veya ilaç kullanım
öyküsü yoktu. Kranial manyetik rezonans tetkikinde optik kiyazma
ve optik sinirler etrafında T2 ağırlıklı kesitlerde hiperintens lezyonlar
(demyelizan alanlar) olduğu belirlendi.
Sonuç: Acil servis hekimleri akut görme kaybının ayırıcı tanısında
nadirde olsa multipl skleroz (MS) ve NMO gibi demyelizan hastalıkların
da olabileceğini düşünmelidir

Keywords

Nöromyelitis optika multipl skleroz optik nörit acil servis

References

  • Tuncel D, Ozay E, Yucesan C, Aydın N. Noromyelitis optika: Olgu sunu- mu. Türk Nöroloji Dergisi 2008; 14: 200-3.
  • Utku U, Dinç A, Gökçe M. Noromyelitis optika: Olgu sunumu. Gaziantep Tıp Dergisi 2010; 16: 26-8.
  • Luzzio C. Multıple Sclerosis, Emergency Medicine web site. Available at: http://emedicine.medscape.com/article/1146199-overview. Updated: Feb 16, 2012. Accessed: 07.04.2012.
  • Wingerchuk DM, Hogancamp WF, O’Brien PC, Weinshenker BG. The clinical course of neuromyelitis optica (Devic’s syndrome). Neurology 1999; 53: 1107-14.
  • Koç F. Multiple sklerozun klinik varyantları. Çukurova Tıp Dergileri 2006; 15: 418.
  • O’Riordan JI, Gallagher HL, Thompson AJ, Howard RS, Kingsley DP, Thompson EJ, et al. Clinical, CSF, and MRI findings in Devic’s neuromye- litis optica. J Neurol Neurosurg Psychiatry 1996; 60: 382-7.
  • Wingerchuk DM. Diagnosis and treatment of neuromyelitis optica. Ne- urologist 2007; 13: 2-11.

A Rare Cause of Acute Visual Loss: Neuromyelitis Optica

Year 2014, Volume: 5 Issue: 1, 24 - 26, 01.01.2014

Mustafa Serinken Mücahit Avcil Bekir Dağlı Emrah Uyanık

Abstract

Introduction: Noromyelitis optica is an acute demyelination illness that is rarely seen. In this study a patient who came to the emergency service having a complaint of sudden loss of vision is introduced with an account of investigations, Noromyelitis Optica (NMO) was diagnosed. Case Report: The 38-year-old woman patient sometimes had a complaint of not seeing clearly for a week and applied to our emergency service with the symptom of loss of vision. In the emergency service, we initially carried out cranial computed tomography scanning. There were no pathological results. It was suspected that the patient has optical neuritis, but in her history, there was no reported use of toxical matter or medicine. The results of a cranial magnetic resonance survey revealed some hyperintense lesions (demyelination areas), predominantly on the T2 segment around the optic chiasma and optic nerves. Conclusion: Thus, even in rare cases, emergency service doctors must take demyelination illnesses such as multiple sclerosis (MS) or NMO into consideration in the differential diagnosis of acute loss of vision

Keywords

Neuromyelitis optica multiple sclerosis optic neuritis emergency department

References

  • Tuncel D, Ozay E, Yucesan C, Aydın N. Noromyelitis optika: Olgu sunu- mu. Türk Nöroloji Dergisi 2008; 14: 200-3.
  • Utku U, Dinç A, Gökçe M. Noromyelitis optika: Olgu sunumu. Gaziantep Tıp Dergisi 2010; 16: 26-8.
  • Luzzio C. Multıple Sclerosis, Emergency Medicine web site. Available at: http://emedicine.medscape.com/article/1146199-overview. Updated: Feb 16, 2012. Accessed: 07.04.2012.
  • Wingerchuk DM, Hogancamp WF, O’Brien PC, Weinshenker BG. The clinical course of neuromyelitis optica (Devic’s syndrome). Neurology 1999; 53: 1107-14.
  • Koç F. Multiple sklerozun klinik varyantları. Çukurova Tıp Dergileri 2006; 15: 418.
  • O’Riordan JI, Gallagher HL, Thompson AJ, Howard RS, Kingsley DP, Thompson EJ, et al. Clinical, CSF, and MRI findings in Devic’s neuromye- litis optica. J Neurol Neurosurg Psychiatry 1996; 60: 382-7.
  • Wingerchuk DM. Diagnosis and treatment of neuromyelitis optica. Ne- urologist 2007; 13: 2-11.
There are 7 citations in total.

Details

Other ID JA77FD98PC
Journal Section Research Article
Authors

Mustafa Serinken This is me

Mücahit Avcil This is me

Bekir Dağlı This is me

Emrah Uyanık This is me

Publication Date January 1, 2014
Submission Date January 1, 2014
Published in Issue Year 2014 Volume: 5 Issue: 1

Cite

APA Serinken, M., Avcil, M., Dağlı, B., Uyanık, E. (2014). A Rare Cause of Acute Visual Loss: Neuromyelitis Optica. Journal of Emergency Medicine Case Reports, 5(1), 24-26.
AMA Serinken M, Avcil M, Dağlı B, Uyanık E. A Rare Cause of Acute Visual Loss: Neuromyelitis Optica. Journal of Emergency Medicine Case Reports. January 2014;5(1):24-26.
Chicago Serinken, Mustafa, Mücahit Avcil, Bekir Dağlı, and Emrah Uyanık. “A Rare Cause of Acute Visual Loss: Neuromyelitis Optica”. Journal of Emergency Medicine Case Reports 5, no. 1 (January 2014): 24-26.
EndNote Serinken M, Avcil M, Dağlı B, Uyanık E (January 1, 2014) A Rare Cause of Acute Visual Loss: Neuromyelitis Optica. Journal of Emergency Medicine Case Reports 5 1 24–26.
IEEE M. Serinken, M. Avcil, B. Dağlı, and E. Uyanık, “A Rare Cause of Acute Visual Loss: Neuromyelitis Optica”, Journal of Emergency Medicine Case Reports, vol. 5, no. 1, pp. 24–26, 2014.
ISNAD Serinken, Mustafa et al. “A Rare Cause of Acute Visual Loss: Neuromyelitis Optica”. Journal of Emergency Medicine Case Reports 5/1 (January 2014), 24-26.
JAMA Serinken M, Avcil M, Dağlı B, Uyanık E. A Rare Cause of Acute Visual Loss: Neuromyelitis Optica. Journal of Emergency Medicine Case Reports. 2014;5:24–26.
MLA Serinken, Mustafa et al. “A Rare Cause of Acute Visual Loss: Neuromyelitis Optica”. Journal of Emergency Medicine Case Reports, vol. 5, no. 1, 2014, pp. 24-26.
Vancouver Serinken M, Avcil M, Dağlı B, Uyanık E. A Rare Cause of Acute Visual Loss: Neuromyelitis Optica. Journal of Emergency Medicine Case Reports. 2014;5(1):24-6.