OPTIC NEUROMYELITIS

OPTIC NEUROMYELITIS

Neuromyelitis optica (NMO)  is a central nervous system disorder that affects the eye nerves (optic neuritis) and the spinal cord (myelitis). It is otherwise called optic neuromyelitis. Other names for the disorder are neuromyelitis optics spectrum disorder or Devic’s disease. When your body’s immune system reacts adversely towards its cells in the central nervous system, the disorder starts. Specifically, it happens when your immune system attacks the optic nerves and spinal cord, but sometimes the brain.

Though it may appear after a course of an infection or with another autoimmune condition, the etiology of neuromyelitis optica is usually unknown. Oftentimes, the condition is misdiagnosed as multiple sclerosis (MS) or is thought of as a type of MS. However, NMO is a distinct and different condition with a different diagnosis.

Neuromyelitis optica may cause a whole range of symptoms and complications. Severe complications may include confusion, seizures, and/or coma. Though flare-ups may be reversible, permanent damage resulting from the flare-ups may be irreversible.

SYMPTOMS

Symptoms of optic neuromyelitis include but are not limited to the following:

  • Pain in the eyes
  • Loss of vision
  • Weakness or numbness in the arms and legs
  • Paralysis of the arms and legs
  • Difficulty controlling the bladder or bowels
  • Uncontrollable vomiting and hiccups

DIAGNOSIS

A conclusive diagnosis means doing differential diagnosis to your existing condition, that is, to ensure that you get an appropriate diagnosis of your condition. Doctors typically rule out other neurological conditions that have similar signs and symptoms to neuromyelitis optica. One of these is providing a distinction between MS and NMO. By having a correct diagnosis, you get the appropriate treatment for your condition.

For your doctor to diagnose your condition, he or she will perform a physical examination, evaluate your previous medical history and know the symptoms that you have. Your doctor may perform and request the following diagnostics:

 

  • Blood tests
  • Lumbar puncture (spinal tap)
  • Magnetic resonance imaging (MRI)
  • Neurological examination
  • Stimuli response test

TREATMENT

With the right management, long-term remission may be viable for NMO since, at this point, there is still no cure for the disorder. Treatment strategies include reversing recent symptoms and preventing future attacks with corticosteroids and immunosuppressants.

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