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Late-onset neuromyelitis optica spectrum disorder mimicking stroke in an elderly Chinese man: Case report
The Journal of Spinal Cord Medicine ( IF 1.8 ) Pub Date : 2020-04-16 , DOI: 10.1080/10790268.2020.1749475 Lei Li 1 , Gao-Li Fang 1 , Yang Zheng 2 , Yin-Xi Zhang 2
更新日期：2020-04-16
The Journal of Spinal Cord Medicine ( IF 1.8 ) Pub Date : 2020-04-16 , DOI: 10.1080/10790268.2020.1749475 Lei Li 1 , Gao-Li Fang 1 , Yang Zheng 2 , Yin-Xi Zhang 2
Affiliation
Context: Few cases of neuromyelitis optica spectrum disorder (NMOSD) with an onset older than 75 years old have been reported.
Finding: Herein, we report an 81-year-old Chinese male initially suspected of acute stroke but was ultimately diagnosed with NMOSD.
Conclusion: Even in the elderly, a diagnosis of NMOSD should be considered for patients with myelitis, especially those with longitudinally extensive spinal cord involvement. Testing for aquaporin 4 antibody in this scenario is recommended for further confirmation. Once diagnosed, careful consideration of treatment options and close monitoring of side effects are important to improve prognosis in elderly patients.
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