Emine Rabia Koç

Neuromyelitis optica: atipic clinic presentation.

We present a patient with neuromyelitis optica who exhibited longitudinally extensive transverse myelitis and aquaporin-4 IgG positivity. Patient did not have optic neuritis clinically, but we detected it with examination of visual evoked potentials (prolonged P100 wave latans), subclinically. We argue that neuromyelitis optica may also be considered in elderly patients with isolated involvement of the longitudinally extensive transverse myelitis, and visually evoked potential evaluation is important to determine of subclinic optic neuritis and anti-AQP-4 is also important to support to determination.

Anterior interosseous nerve involvement in a patient due to weight lifting: MRI and EMG finding.

Received: 23-07-2012 Review completed: 26-07-2012 Accepted: 01-09-2012 simplex virus and usually presents with new lesions on imaging. On the other hand, immune-mediated relapse will be CSF HSV PCR-negative with no new lesions on imaging.[6] The distinction between active re-infection and post-infectious inflammatory encephalopathy is crucial, because the former would be managed with a repeat course of acyclovir, and the latter with corticosteroids and, possibly, intravenous immunoglobulin or plasmapheresis.[6] The presence of gliotic lesions in the medial thalami in our patient ruled out re-infection and aided in the management with corticosteroids.