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Longitudinally extensive myelopathy in Caucasians: a West Australian study of 26 cases from the Perth Demyelinating Diseases Database
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Longitudinally extensive myelopathy in Caucasians: a West Australian study of 26 cases from the Perth Demyelinating Diseases Database
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Longitudinally extensive myelopathy in Caucasians: a West Australian study of 26 cases from the Perth Demyelinating Diseases Database
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Journal Article
Longitudinally extensive myelopathy in Caucasians: a West Australian study of 26 cases from the Perth Demyelinating Diseases Database
2010
Overview
ObjectivesTo characterise West Australian cases of longitudinally extensive myelopathy (LEM).MethodsTwenty six patients with LEM were identified from a cohort of 983 patients with demyelinating disease. Clinical and MRI data and AQP4-IgG results were reviewed.ResultsLEM cases were classified as conventional MS (CMS) 13, neuromyelitis optica (NMO) 7, and isolated LEM 6. LEM was the initial presentation in 13/26 cases. In CMS cases lesions were mainly in the lower cervical cord (C4–C7) whereas in NMO and isolated LEM they were more often thoracic and were longer. The severity of disability was highly variable but was greater in the NMO than the CMS group. Only one of 20 patients tested was seropositive for AQP4-IgG.ConclusionLEM occurred as part of CMS or NMO or in isolation. Patients with LEM had highly heterogeneous clinical characteristics and a low rate of AQP4-IgG seropositivity.
Publisher
BMJ Publishing Group Ltd,BMJ Publishing Group,BMJ Publishing Group LTD
Subject
/ Age
/ Biological and medical sciences
/ Demyelinating Diseases - epidemiology
/ Demyelinating Diseases - immunology
/ Demyelinating Diseases - pathology
/ Disease
/ European Continental Ancestry Group - statistics & numerical data
/ Female
/ Humans
/ Immunoglobulin G - immunology
/ Male
/ Spinal Cord Diseases - epidemiology
/ Spinal Cord Diseases - immunology
/ Spinal Cord Diseases - pathology
/ Studies
