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Multiple Sclerosis
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Article

Neuromyelitis optica with clinical and histopathological involvement of the brain

G.J.D. Hengstman1*, P Wesseling2, C.W.G.M. Frenken3, P.J.H. Jongen4

1 Department of Neurology, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
2 Department of Pathology, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
3 Department of Neurology, Canisius Wilhelminia Ziekenhuis, Nijmegen, The Netherlands
4 Multiple Sclerosis Centre Nijmegen, Nijmegen, The Netherlands

* To whom correspondence should be addressed.


  Abstract

Diagnostic criteria for neuromyelitis optica (NMO) state that there should be no active disease outside the optic nerves and spinal cord. However, several cases have been described with symptomatic brain involvement. We describe an autopsy case of a patient with NMO and symptomatic involvement of the brain. The histopathology of the brain lesions is typical for NMO, with extensive macrophage infiltration, including perivascular accumulation of large numbers of eosinophils. This is the first case that clearly shows that in NMO, the histopathology of the brain lesions is identical to that of the lesions in the optic nerves and spinal cord.

Key Words: cerebral, devic, histopathological, neuromyelitis optica

First published on February 9, 2007, doi:10.1177/1352458506070145

Multiple Sclerosis 2007;13:679.

A more recent version of this article appeared on June 1, 2007

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