28 September 2012
Visual evoked potentials in early diagnosis of demyelinating diseases – a case report of Devic’s diseaseEwa Langwińska-WośkoABDEF, Kamil SzulborskiABCDEF, Karina Broniek-KowalikABCDEF
Med Sci Monit 2012; 18(10): CS82-84
Background: 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.
Case Report: 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).
Conclusions: 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.
Keywords: Neuromyelitis Optica - physiopathology, young adult, Evoked Potentials, Visual - physiology
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