Open AccessNeuromyelitis optica with unilateral diaphragmatic paralysis
Author(s) -
Sami Bennji,
Diaeddin Sagar,
Naeem Brey,
Coenraad F.N. Koegelenberg
Publication year - 2018
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr-2018-225984
Subject(s) - medicine , neuromyelitis optica , plasmapheresis , hemiparesis , methylprednisolone , paralysis , phrenic nerve , surgery , anesthesia , multiple sclerosis , respiratory system , lesion , psychiatry , antibody , immunology
In this case report, we describe the course of a female patient who is known to have neuromyelitis optica (NMO) and developed left hemiparesis and unilateral diaphragmatic paralysis. She was initially treated with intravenous methylprednisolone 1 g daily for 5 days without improvement. Subsequently, she received five sessions of a plasmapheresis. Her hemiparesis had improved after few days. however, the phrenic nerve palsy remained.