Published by |
Gordon19918
|
McFayden19879
|
Hua201410
|
Ionnides201311
|
Engelholm201312
|
Antulov201413
|
Feresiadou201414
|
Our case |
Origin |
US |
Canada |
US |
Australia |
Germany |
Croatia |
Sweden |
Mexico |
Age |
28 |
31 |
25 |
28 |
32 |
21 |
35 |
34 |
Gestational age at onset (weeks) |
28 |
No specified |
14 |
13 |
32 |
35 |
37 |
15 |
Previous medical history |
None |
None |
None |
Epilepsy from a perinatal ischaemic event |
None |
None |
Apparent similar clinical picture at 12 yo, treated with steroids |
None |
System of onset |
Eye |
Eye |
Auditory |
Neurologic |
Neurologic |
Neurologic |
Auditory |
Auditory |
Neurologic symptoms |
Unilateral weakness, dysarthria and apathy |
Ataxia and dysarthria |
Amnestic syndrome, Gait disorder, Bilateral severe weakness |
Bilateral severe weakness and dysarthria |
Encephalopathic syndrome and Unilateral weakness |
Bilateral severe weakness and progressive cognitive affection |
None |
Cognitive affection (frontal medial syndrome) and bilateral weakness |
Ophthalmologic symptoms |
Visual field deficit |
Visual field deficit |
Loss of visual acuity |
Loss of visual acuity |
Visual field deficit |
None |
Loss of visual acuity and visual field deficit |
Loss of visual acuity |
Auditory symptoms |
Bilateral neurosensorial hearing loss |
Bilateral tinnitus and neurosensorial hearing loss |
Tinnutus |
Right neurosensorial hearing loss |
Neurosensorial hearing loss |
Left neurosensorial hearing loss |
Tinnitus and left neurosensorial hearing loss |
Tinnitus and bilateral neurosensorial hearing loss |
Additional or atypical affection |
None |
None |
Cervical cord involvement |
None |
Livedo racemosa |
None |
None |
None |
Time until fully triad (months) |
1 |
2 |
6 |
4 |
1.5 |
Not completed |
Not completed |
6 |
|
MRI findings |
Deep grey matter |
No |
Not done |
Yes |
Yes |
Yes |
Yes |
No |
Yes |
White matter |
Callosal and periventricular |
Not done |
Callosal and periventricular lesions |
Callosal |
Callosal and periventricular lesions |
Callosal and periventricular lesions |
No |
Callosal |
Posterior fossa involvement |
No |
Not done |
Yes |
No, but also reported meningeal enhancement |
Yes |
Yes |
No |
No |
Gadolinium enhancement |
No reported |
Not done |
Yes |
No reported |
Yes |
No reported |
No |
Yes |
|
CSF findings |
Proteins mg/dl |
No reported |
252 |
95 |
2000 |
1800 |
1009 |
No performed |
77 |
Cells (Mono) |
No reported |
0 |
6 |
9 |
No reported |
No reported |
No performed |
0 |
|
Treatment |
Initial treatment |
Heparin |
None |
IVMP × 5 |
IVMP × 3 |
IVMP × 5 |
IGIV × 5 |
IVMP × 5 |
IVMP × 5 |
Response |
Partial |
|
Partial |
No response |
Partial |
Complete response |
Partial |
No response |
2nd line treatment |
None |
None |
Oral prednisone |
PLEX and IVIg |
Oral prednisone |
None |
None |
IgIV |
Chronic treatment |
Warfarin |
Oral prednisone |
MMF |
MMF |
MMF + MTX |
AZA |
Oral prednisone |
CCF |
Response |
Almost complete recovery |
Partial remission |
Partial remission |
No response |
Almost complete recovery |
Almost complete recovery |
Almost complete recovery |
Partial remission |
|
Prognosis |
Follow up (years) |
0.2 |
4 |
1.5 |
3.5 |
1 |
0.2 |
3 |
0.5 |
Sequels |
Visual deficit |
Mild hearing loss |
Cognitive deficit with visuospatial and word recall |
No specified |
Mild cognitive deficit |
Subtle weakness |
Mild left hearing loss |
Cognitive deficit |
Course of disease |
|
Monocyclic |
Monocyclic |
Chronic continuous |
Probably Monocyclic |
Probably Monocyclic |
Monocyclic |
Probably Monocyclic |
Final pregnancy state |
Healthy product |
Healthy product |
Healthy product |
Therapeutic abortion at 15 weeks GA |
Healthy product |
Healthy product |
Healthy product |
Therapeutic abortion at 17 weeks GA |