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出血性长节段横贯性脊髓炎(LETM)作为视神经脊髓炎谱系障碍(NMOSD)的首发表现:一例报告及文献综述

Hemorrhagic Longitudinally Extensive Transverse Myelitis (LETM) as a First Presentation of Neuromyelitis Optica Spectrum Disorder (NMOSD): A Case Report and Literature Review.

作者信息

Jahani Shima, Jamshidi Fateme, Moghadasi Abdorreza Naser

机构信息

Multiple Sclerosis Research Center, Neuroscience Institute Tehran University of Medical Sciences Tehran Iran.

Razi Hospital Ilam University of Medical Sciences Ilam Iran.

出版信息

Clin Case Rep. 2025 Jan 6;13(1):e70081. doi: 10.1002/ccr3.70081. eCollection 2025 Jan.

Abstract

Here we present a rare case of hemorrhagic longitudinally extensive transverse myelitis (LETM) as a first presentation of Neuromyelitis Optica Spectrum Disorder. Even though the patient received aggressive treatment, he showed no significant improvement. Our case highlights the importance of prompt intervention in the case of hemorrhagic myelitis and the diagnostic challenges of hemorrhagic LETM.

摘要

在此,我们报告一例罕见的出血性长节段横贯性脊髓炎(LETM),它是视神经脊髓炎谱系障碍的首发表现。尽管患者接受了积极治疗,但并无明显改善。我们的病例强调了出血性脊髓炎及时干预的重要性以及出血性LETM的诊断挑战。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7096/11705517/80d5dfd677cc/CCR3-13-e70081-g003.jpg

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