Neuromyelitis optica IgG predicts relapse after longitudinally extensive transverse myelitis

Brian G. Weinshenker, Dean M. Wingerchuk, Sandra Vukusic, Linda Linbo, Sean J. Pittock, Claudia F. Lucchinetti, Vanda A. Lennon

Research output: Contribution to journalArticlepeer-review

467 Scopus citations

Abstract

Objective: We investigated whether neuromyelitis optica (NMO) IgG seropositivity at the initial presentation of longitudinally extensive transverse myelitis (LETM) predicts relapse of myelitis or development of optic neuritis. Methods: Prospective study of patients with initial LETM who were tested for the presence of NMO-IgG. Results: Eleven of 29 patients (37.9%) were seropositive after a first attack of LETM spanning three or more vertebral segments on magnetic resonance imaging. Of 23 patients followed up for 1 year, none of 14 who were seronegative experienced a relapse or developed optic neuritis. Of 9 seropositive patients, 5 developed a second event: 4 of 9 (44%) developed recurrent transverse myelitis and 1 of 9 (11%) developed optic neuritis (p = 0.004). Interpretation: LETM represents an inaugural or limited form of NMO in a high proportion of patients. The 40% of patients who are seropositive for NMO-IgG are at high risk for relapse.

Original languageEnglish (US)
Pages (from-to)566-569
Number of pages4
JournalAnnals of neurology
Volume59
Issue number3
DOIs
StatePublished - Mar 1 2006

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology

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