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KMID : 1022820100010010027
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Journal of Multiple Sclerosis and Neuroimmunology
2010 Volume.1 No. 1 p.27 ~ p.29
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A Case of Neuromyelitis Optica Combined With Sjogren’s Syndrome Presenting Posterior Reversible
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Hwang Jae-Chun
Kim Byoung-Joon
Lee Kwang-Ho
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Abstract
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Posterior reversible encephalopathy syndrome (PRES) is characterized by vasogenic subcortical edema, and its pathogenesis remains not well understood. Here we describe a patient of neuromyelitis optica (NMO) combined with Sjogren’s syndrome (SS) presenting PRES. The patient had relapsing-remitting optic neuritis and myelitis and acutely developed confusion and hemiparesis. Brain MRI revealed massive subcortical lesions. Autoantibodies and diagnostic tests satisfied the diagnostic criteria of SS. Anit-aquaporin-4 antibody was positive. Common water flux impairment may predispose NMO and SS to PRES.
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KEYWORD
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PRES, Sjogren’s syndrome, Neuromyelitis optica
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