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KMID : 0361420160400050943
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Journal of Korean Academy of Rehabilitation Medicine
2016 Volume.40 No. 5 p.943 ~ p.948
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Neuromyelitis Optica Masquerading as Lumbosacral Radiculopathy: A Case Report
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Kim Seung-Yeon
Kwon Bum-Sun
Park Jin-Woo
Lee Ho-Jun
Kim Hyo-Jun
Park Da-Yun
Nam Ki-Yeun
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Abstract
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Neuromyelitis optica spectrum disorders (NMOSD) is a demyelinating syndrome of the central nervous system. This case report describes a 31-year-old woman whose electromyography revealed radiculopathy in the left L5-S1 spinal segment without anatomical abnormalities on lumbosacral magnetic resonance imaging (MRI). She was diagnosed with NMOSD based on gadolinium contrast whole spine and brain MRI and anti-aquaporin-4 antibody findings. Her peripheral nervous system might have been damaged during the early course of NMOSD. Therefore, it is necessary to consider NMOSD for patients who have radiculopathy in electromyography if lumbosacral MRI shows no abnormalities.
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KEYWORD
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Neuromyelitis optica, Peripheral nervous system diseases, Radiculopathy
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