Neuromyelitis optica and neuromyelitis optica spectrum disorder patients in Turkish cohort demographic, clinical, and laboratory features
Küçük Resim Yok
Tarih
2015
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Lippincott Williams and Wilkins
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Background: Neuromyelitis optica (NMO) is an immune-mediated, chronic relapsing, inflammatory disease characterized by severe attacks of optic neuritis and myelitis. Objective: To determine the demographic, clinical, and laboratory features; antibody status; and treatment modalities of patients with NMO and neuromyelitis optica spectrum disorders in a Turkish cohort from 11 centers. Methods: A total of 182 patients were included in this study. Data on age at disease onset, sex, type of attacks, clinical presentation, analysis of cerebrospinal fluid, serum antiaquaporin-4 antibody status, annual progression index, and medical and family histories were collected. Results: Mean age was 38.43 ± 12.40 years (range, 13 to 75 y), and mean age at disease onset was 31.29 ± 12.40 years (median, 29 y; range, 10 to 74 y). In NMO group, the rate of NMO immunoglobulin (Ig)G positivity was 62.5%. The annual progression index was significantly higher in the longitudinally extending spinal cord lesion. The mean Expanded Disability Status Scale score was higher in the late than early-onset NMO group. Conclusion: Our results revealed a lower rate of NMO IgG positivity, more severe disability in patients with NMO/neuromyelitis optica spectrum disorders presenting with either transverse myelitis or lateonset NMO, and no correlation between disability and NMO IgG status. © 2015 Wolters Kluwer Health, Inc. All rights reserved.
Açıklama
Anahtar Kelimeler
Aquaporin-4 antibody, Clinical findings, Late onset, Neuromyelitis optica, Neuromyelitis optica spectrum disorder, Prognosis
Kaynak
Neurologist
WoS Q Değeri
Scopus Q Değeri
Q3
Cilt
20
Sayı
4
