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PubMed· 2017

Autonomic Dysregulation, Cognitive Impairment, and Symptoms of Psychosis as an Unusual Presentation in an Anti-Aquaporin 4-Positive Patient.

Annabel M. Ruiter, Jan F Meilof, Rosemarijn R. J. Somanje-Bolweg, Erik van Gorsel et al.

Short summary

A patient with anti-aquaporin 4 (AQP4) antibodies, typically associated with neuromyelitis optica spectrum disorder (NMOSD), presented with unusual autonomic dysregulation, cognitive impairment, and psychosis.

AI-generated from the title and abstract; the full text is not read.

Key points

  • An AQP4-positive patient with NMOSD presented with unusual symptoms: autonomic dysregulation, cognitive impairment, and psychosis.
  • Brain MRI showed hyperintense T2 signals in the hypothalamus and right optic nerve.
  • Symptoms and MRI abnormalities resolved after high-dose methylprednisolone treatment.

AI-generated from the title and abstract; the full text is not read.

Abstract

We present the unusual case of a patient with an aquaporin 4 antibody-seropositive neuromyelitis optica spectrum disorder who presented with autonomic dysregulation, cognitive impairment, and symptoms of psychosis. Only a few previous cases have been described with similar psychiatric symptoms. Brain MRI showed an abnormal hyperintense T2 signal of the hypothalamus and, to a lesser extent, a minor hyperintense signal of the right optic nerve. Her symptoms and MR abnormalities improved after high-dose methylprednisolone.

The authors' abstract, as published at the source. PubMed, 2017 · DOI ↗

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Field: Pathology and Forensic Medicine

Pathology and Forensic MedicineMedicine