Department of Ophthalmology, Warsaw Medical University, Warsaw, Poland.
Med Sci Monit. 2012 Oct;18(10):CS82-4. doi: 10.12659/msm.883473.
Devic's disease, also known as neuromyelinitis optica (NMO), is a severe, rare demyelinating disorder, previously considered to be a form of multiple sclerosis (MS). The aim of this study was to present the case report of 21-year-old woman with a very early diagnosis of Devic's disease, established following electrophysiological testing.
A 21-year-old woman was referred to Warsaw Medical University, Department of Ophthalmology, with subjective visual impairment. The patient underwent a full clinical examination, colour vision and Goldmann visual field testing, fluorescein angiography, OCT, multifocal ERG, and visual evoked potentials (VEPs).
Visual evoked potentials are a very useful diagnostic tool in optic nerve neuropathies. In our patient, the electrophysiological testing allowed us to establish a proper diagnosis very early, before typical clinical signs of Devic's disease.
Devic 病，又称视神经脊髓炎（NMO），是一种严重的、罕见的脱髓鞘疾病，以前被认为是多发性硬化症（MS）的一种形式。本研究的目的是报告一例 21 岁女性的病例，该患者在电生理测试后被极早期诊断为 Devic 病。
一名 21 岁女性因主观视力障碍被转诊至华沙医科大学眼科系。该患者接受了全面的临床检查、色觉和 Goldmann 视野检查、荧光素血管造影、OCT、多焦 ERG 和视觉诱发电位（VEP）。
视觉诱发电位是视神经病变非常有用的诊断工具。在我们的患者中，电生理测试使我们能够在 Devic 病的典型临床症状出现之前，非常早期地做出明确诊断。
