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. Author manuscript; available in PMC: 2024 Oct 1.
Published in final edited form as: Eur J Neurol. 2023 Jul 19;30(10):3367–3376. doi: 10.1111/ene.15983

Table 2 –

Alternative diagnoses misinterpreted as NMOSD

Genetic/metabolic diseases (n=20) Biotinidase deficiency (n= 9)
OPA1 gene mutation (n=3)
Leber hereditary optic neuropathy (n=3)
Copper deficiency (n=2)
B12 deficiency (n=1)
MTFMT deficiency (n=1)
Alexander disease (n=1)

Neoplasms (n=11) Primary CNS lymphoma (n=3)
Primary spinal cord glioblastoma multiforme (n=1)
Primary CNS histiocytic sarcoma (n=1)
Primary intracranial germinoma (n=1)
Primary spinal cord oligoastrocytoma (n=1)
Anaplastic astrocytoma (n=1)
B-cell lymphoma (n=1)
Optic nerve sheath meningioma (n=1)
High grade glioma (n=1)

Infections (n=11) Tuberculous myelopathy associated with optic neuropathy (n=2)
Subacute sclerosing panencephalitis (n=1)
Amoebic encephalitis (n=1)
Varicella Zoster virus myelitis (n=1)
Syphilitic optic neuropathy (n=1)
Spinal toxoplasmosis (n=1)
Chikungunya associated myelitis (n=1)
HIV optic neuropathy (n=1)
C. Bantiana infectious myelitis (n=1)
Intramedullary spinal cord abscess (n=1)

Systemic autoimmune diseases (n=9) Neurosarcoidosis (n=3)
Sjogren syndrome (n=2)
Neuro-Bechet (n=2)
SLE (n=1)
Undifferentiated connective tissue disease (n=1)

Vascular diseases (n=8) Dural arteriovenous fistula (n=7)
Spinal cord infarction (n=1)

Compressive myelopathy (n=5) Spondylotic myelopathy (n=5)

Neurologic autoimmune diseases (n=4) CRMP5-IgG-associated myelitis (n=2)
Clippers (n=1)
GFAP astrocytopathy (n=1)

Abbreviations – CNS = central nervous system; CRMP5 = collapsing response mediated protein 5; GFAP = glial fibrillary acidic protein; HIV = human immunodeficiency virus; MTFMT = mitochondrial methionyl-tRNA formyltransferase; SLE = systemic lupus erythematosus;