Department of Neurology, University Hospital Center of Lomé, Lomé, Togo
Case Report
Pediatric neuromyelitis optica and it management in rural practice in north Togo: About a 13-year-old young girl and review of literature
Author(s): Léhleng Agba*, Nyinèvi Anayo, Lihanimpo Djalogue, Massaga Dagbe, Kokou Mensah Guinhouya, Vinyo Kumako, Damelan Kombate, Kossivi Apetse, Abide Talabewi, Komi Assogba, Mofou Belo and Ayelola Balogou
Considered for a long time as a particular form of multiple sclerosis
(MS), Devic's disease generally occurs in young women between
20 and 40 years old. This neuro-immunological disease can affect
children and adolescents. It was the case of a 13-year-old student
who came to the clinic with a walking disorder of insidious onset
and ascending progression. Guillain-Barré syndrome was the first
diagnosis retained but when visual troubles occurred, the medullary
MRI and the search for anti Aquaporine-4 (AQP-4) antibodies where
done. The medullary MRI showed a hypersignal in T2 weighted
extended on 6 vertebrae at the cervical level. The anti-AQP-4
antibody was positive. Devic's disease was then recognized in this
young girl who was given intravenous (IV) corticosteroid. The lack
of the therapeutic arsenal in our region did not allow th.. View More»
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