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| Case Report | |||||
| Dementia and Neurocognitive Disorders 2016: 15: 1: 20-23 | |||||
| Improvement of Frontal Lobe Dysfunctions in Neuromyelitis Optica after Treatment: A Case Report | |||||
|---|---|---|---|---|---|
| JaeJeong Joo,1 Sul-Ki Lee,2 In Ha Hwang,2 Kyum-Il Kwon,1 Byoung June Ahn,1 YoungSoon Yang2 | |||||
| 1Department of Neurology, Soonchunhyang University Gumi Hospital, Gumi, Korea 2Department of Neurology, Veterans Health Service Medical Center, Seoul, Korea | |||||
| Improvement of Frontal Lobe Dysfunctions in Neuromyelitis Optica after Treatment: A Case Report | |||||
| JaeJeong Joo,1 Sul-Ki Lee,2 In Ha Hwang,2 Kyum-Il Kwon,1 Byoung June Ahn,1 YoungSoon Yang2 | |||||
| 1Department of Neurology, Soonchunhyang University Gumi Hospital, Gumi, Korea 2Department of Neurology, Veterans Health Service Medical Center, Seoul, Korea | |||||
| Background Neuromyelitis optica (NMO) is characterized by optic neuritis and longitudinally extensive transverse myelitis. Generally, the brain had been considered healthy in NMO patients, though recent studies have demonstrated that T2-weighted abnormalities may be observed in various brain regions. Logically, NMO brain lesions are localized at sites of high aquaporin-4 expression. Case Report A 68-year-old right-handed man with dysuria, weakness in the bilateral upper and lower limbs, and decreased sensation of the lower extremities, was diagnosed with neuromyelitis optica. The patient was gradually speaking less, was showing reduced interest in hobbies, and had undergone changes in character and behavior. An examination was performed using the Seoul Neuropsychological Screening Battery (SNSB), which revealed that the profile of frontal lobe dysfunctions was prominent as compared with other cognitive domains. The patient was treated with prednisolone and azathioprine for about 1 year without recurrence, and showed prognostic improvement according to further SNSB testing. Conclusions Further studies are considered necessary in order to find the most effective medication regimen for improving cognitive functions in those accurately diagnosed with NMO, and to develop systematic treatment using even more diversified immune-related agents. |
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| Key Words: neuromyelitis optica, frontal function, treatment. | |||||
| 대한치매학회지 (Dementia and Neurocognitive Disorders) |
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