Department of Psychiatry, University of California, San Francisco, CA, USA.
Gen Hosp Psychiatry. 2010 Nov-Dec;32(6):648.e5-8. doi: 10.1016/j.genhosppsych.2010.07.009.
Neuromyelitis optica (NMO) is an aggressive demyelinating disease that typically affects the optic nerves and spinal cord. While it is increasingly recognized that cerebral lesions are common in NMO, there have been no reported cases of NMO presenting with psychiatric symptoms and polydipsia. We describe a patient with classic signs and symptoms of NMO who also demonstrated prominent psychiatric symptoms and polydipsia that were tied to his flares and resolved with treatment of his NMO. This case expands our understanding of possible presentations of NMO.
视神经脊髓炎(NMO)是一种侵袭性脱髓鞘疾病,通常影响视神经和脊髓。尽管人们越来越认识到 NMO 常见脑部病变,但尚无报道称 NMO 以精神症状和多饮为表现。我们描述了一位具有经典 NMO 体征和症状的患者,他还表现出明显的精神症状和多饮,这些症状与他的病情发作有关,通过治疗他的 NMO 得到缓解。该病例扩展了我们对 NMO 可能表现的认识。