Table 1.
Patient | Age/sex | Tumor type (interval (months) NMOSD-tumor) | Presenting symptoms | Predominant neurologic syndrome | CSF | Spinal MRI: length of T2 lesion | Treatment | Outcome |
---|---|---|---|---|---|---|---|---|
1 | 49/M | NSCLC (+1) | Seizures rapidly followed by LETM | LETM | 157 WBC/μL, protein: 103 mg/dL OCB: negative |
medulla to L1 | Steroids, IvIG | Improved. Death due to tumor |
2 | 55/F | NSCLC (0) | Nausea and vomiting followed by LETM | LETM | 42 WBC/μL, protein: 127 mg/dL OCB: negative |
medulla to L1 | Steroids, chemotherapy | Worse, relapse at 3 months |
3 | 61/M | NSCLC (−1) | Myelopathy | LETM | 0 WBC/μL, protein: 140 mg/dL OCB: not done |
C3 to T8 | Steroids, IvIG, radiotherapy | Stable. Death due to tumor |
4 | 72/M | Squamous ca. oral cavity (+19) | Myelopathy | LETM | 9 WBC/μL, protein: 47 mg/dL OCB: negative |
C6 to T2 | Steroids, AZA, chemotherapy, radiotherapy | Worse, 3 relapses in 24 months. Death due to tumor |
5 | 73/F | Breast (−10) | Myelopathy | LETM | Unknown | C6 to T10 | Steroids, chemotherapy, radiotherapy | Worse, relapse at 8 months. Death due to tumor |
AQP4: aquaporin-4; AZA: azathioprine; ca: carcinoma; LETM: longitudinal extensive transverse myelitis; NMOSD: neuromyelitis optica spectrum disorder; NSCLC: non–small cell lung cancer; OCB: oligoclonal bands; WBC: white blood cells; IvIG: intravenous immunoglobulins; MRI: magnetic resonance imaging.