A Case of Neuromyelitis Optica Misdiagnosed as Cervicogenic Headache
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초록
Neuromyelitis optica (NMO) is an inflammatory demyelinating disease of the central nervous system associated with longitudinally extensive myelitis and optic neuritis. It is characterized by relapses that lead to blindness and paralysis sequelaes. But, this is rare disease; therefore high clinical suspicion for a correct diagnosis and proper examinations are not easy. However, early diagnosis is essential to prevent sequelae. We report the case of NMO with headache. A 30-year male patient who suffered headache visited our pain clinic because of aggravated pain despite treatment. The cause of the pain was revealed as NMO by more detailed previous history and examination.
Abstract
Neuromyelitis optica (NMO) is an inflammatory demyelinating disease of the central nervous system associated with longitudinally extensive myelitis and optic neuritis. It is characterized by relapses that lead to blindness and paralysis sequelaes. But, this is rare disease; therefore high clinical suspicion for a correct diagnosis and proper examinations are not easy. However, early diagnosis is essential to prevent sequelae. We report the case of NMO with headache. A 30-year male patient who suffered headache visited our pain clinic because of aggravated pain despite treatment. The cause of the pain was revealed as NMO by more detailed previous history and examination.
참고문헌 (19)
- De Klippel N, "Survey to evaluate diagnosis and management of headache in primary care : Headache Management Pattern programme", Curr Med Res Opin, 24, pp.3413~3422 (2008)
- Hasse LA, "Predicting the number of headache visits by type of patient seen in family practice", Headache, 42, pp.738~746 (2002)
- 김용재, "개원의가 쉽게 다가가는 두통의 진단과 치료 원칙", 대한의사협회지, 53(9), pp.807~814 (2010), 대한의사협회
- Kim BK, "A diagnostic imaging in headache patients", Korean J Headache, 8, pp.16~19 (2007)
- Attal N, "Neuropathic pain: mechanisms, therapeutic approach, and interpretation of clinical trials", Continuum (Minneap Minn), 18, pp.161~175 (2012)
- 김우준, "다발성 경화증", 대한의사협회지, 52(7), pp.665~676 (2009), 대한의사협회
- Myhr KM, "Diagnosis and treatment of multiple sclerosis", Acta Neurol Scand Suppl, 188, pp.12~21 (2008)
- Barnett MH, "Neuromyelitis optica: not a multiple sclerosis variant", Curr Opin Neurol, 25, pp.215~220 (2012)
- Fazio R, "Neuromyelitis optica : concepts in evolution", J Neuroimmunol, 231, pp.100~104 (2011)
- Jarius S, "The history of neuromyelitis optica", J Neuroinflammation, 10, pp.8~ (2013)
- 김우준, "New Insights into Neuromyelitis Optica", Journal of Clinical Neurology, 7(3), pp.115~127 (2011), 대한신경과학회
- Matà S, "Neuromyelitis optica: an update", J Neurol Sci, 303, pp.13~21 (2011)
- Asgari N, "Neuromyelitis optica(NMO)--an autoimmune disease of the central nervous system(CNS)", Acta Neurol Scand, 123, pp.369~384 (2011)
- Lana-Peixoto MA, "The expanded spectrum of neuromyelitis optica : evidences for a new definition", Arq Neuropsiquiatr, 70, pp.807~813 (2012)
- Wingerchuk DM, "Revised diagnostic criteria for neuromyelitis optica", Neurology, 66, pp.1485~1489 (2006)
- Wingerchuk DM, "Diagnosis and treatment of neuromyelitis optica", Neurologist, 13, pp.2~11 (2007)
- Wingerchuk DM, "Neuromyelitis optica:clinical predictors of a relapsing course and survival", Neurology, 60, pp.848~853 (2003)
- Friedman BW, "Headache emergencies: diagnosis and management", Neurol Clin, 30, pp.43~59 (2012)
- Nahas SJ, "Diagnosis of acute headache", Curr Pain Headache Rep, 15, pp.94~97 (2011)