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. 2022 Apr 25;13:872684. doi: 10.3389/fneur.2022.872684

Figure 2.

Figure 2

MRI and CT findings and anti-aquaporin-4 antibody (AQP4-IgG) array of the presented case. (A) Whole-exome sequencing revealed a mutation in JAK2-V617F. (B) CT venography of the second hospitalization showed no filling defects of the cerebral venous sinus. (C–H) Spinal MRI demonstrated T2-weighted imaging abnormalities in the medulla as well as extensive spinal cord involvement extending from C1 to the conus. Spinal MRI with contrast showed mild enhancement in the cervical and thoracic spinal cord. (I,J) Follow-up MRI showed prominent regression of the hyperintense lesion, which included the medulla and spinal cord. (K) The serum titer of AQP4-IgG using a cell-based assay was 1:1,000 at the time of neuromyelitis optica spectrum disorder diagnosis. (L) The patient was negative for AQP4-IgG at the 1-year follow-up.