Prevalence of neuromyelitis optica spectrum disorder and phenotype distribution View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2009-11

AUTHORS

Elisa Bizzoco, Francesco Lolli, Anna Maria Repice, Bahia Hakiki, Mario Falcini, Alessandro Barilaro, Rosanna Taiuti, Gianfranco Siracusa, Maria Pia Amato, Tiziana Biagioli, Silvia Lori, Marco Moretti, Annalisa Vinattieri, Patrizia Nencini, Luca Massacesi, Sabrina Matà

ABSTRACT

Neuromyelitis optica spectrum disorder (NMOsd) is a group of demyelinating disorders recently redefined and associated with NMO-IgG/anti-aquaporin 4 antibodies. Because NMOsd is of unknown prevalence worldwide, we conducted a retrospective, cross-sectional study of 850 patients with demyelinating disorders hospitalized in North East Tuscany from 1998 to 2006 to examine the prevalence of NMO and related disorders among unselected consecutive neurological patients with inflammatory CNS diseases and to evaluate the clinical phenotype spectrum of identified cases. Clinical data were updated after at least 2 years of follow-up. An immunofluorescence technique was used to detect NMO-IgG on rat brain tissue. Sera from other 828 neurological patients, 65 non-neurological patients and 50 healthy donors served as controls. The prevalence of NMOsd was 1.5%, with a MS:NMOsd ratio of 42.7. Among 13 NMOsd patients, 77% had long spinal cord lesions, 38% had severe optic neuritis and 23% had brain or brainstem lesions. Only 56% had clinically definite NMO at follow-up. The final EDSS score ranged from 1 to 10, mainly depending on brainstem involvement occurrence. Our findings confirm a low prevalence of NMO and related disorders among demyelinating inflammatory diseases in a Caucasian population. Moreover, this study demonstrates an unexpectedly high prevalence of limited and atypical variants of this disease, not previously documented. More... »

PAGES

1891-1898

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00415-009-5171-x

DOI

http://dx.doi.org/10.1007/s00415-009-5171-x

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1050070767

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/19479168


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Download the RDF metadata as:  json-ld nt turtle xml License info

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RDF/XML is a standard XML format for linked data.

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