-
-
J Korean Neurol Assoc. 2000;18(1):85-88.
- A Case of Devic’s Neuromyelitis Optica with Pulmonary Tuberculosis
-
Sang-Joon Jung, M.D., Kee-Hyung Park, M.D., Hee-Tae Kim, M.D., Myung-Ho Kim, M.D.
-
Department of Neurology, College of Medicine, Hanyang University
- 폐결핵이후 발생한 시속신경척수염 1예
-
정상준, 박기형 ·김희태 ·김명호
-
한양대학교 의과대학 신경과학교실
- Abstract
- Neuromyelitis optica (Devic’s syndrome) is characterized by acute bilateral visual loss (optic neuritis), acute trans-verse myelitis, near simultaneous development of these optic and spinal symptoms, no other symptoms and involve-ment of the central nervous system. Sporadic reports of patients with neuromyelitis optica in association with tubercu-losis confined to the lungs have appeared over the last years. A 67-year-old man presented with visual disturbance and sudden onset of lower limb weakness. On neurological examination, bilateral visual loss, flaccid paraparesis, hypesthe-sia below T2 dermatome, and extensor plantar responses were noted. Chest X-ray revealed bilateral nodular densities in the upper lung fields and a fluorochrome stain for tuberculosis was positive. Magnetic resonance imaging showed spinal cord swelling and high signal intensity (T2WI) in thoracic spinal cord. We report a case of neuromyelitis optica with pulmonary tuberculosis. It is suggested that this condition might caused by an immune reaction to tuberculosis rather than the use of antituberculosis medication.
J Korean Neurol Assoc 18(1):85~88, 20000
Key Words : Neuromyelitis optica, Pulmonary tuberculosis, Immune reaction
Keywords :
- 초록
-
