Neuromyelitis Optica: Devic's Disease.

Kim, Shi Young; Chang, Won Ui; Shyn, Kyung Hwan

Case Report

Journal of the Korean Ophthalmological Society 1976;17(3):353-359.
Published online March 1, 1976.

Neuromyelitis Optica: Devic's Disease.

Shi Young Kim, Won Ui Chang, Kyung Hwan Shyn

Department of Ophthalmology, Han Gang Sacred Heart Hospitial, Chung Ang University, Medical College, Seoul, Korea.

시신경척수염 ( Devic's Disease ) 1례

김시영 , 장원의 , 신경환 ( Shi Young Kim , Won Ui Chang , Kyung Hwan Shin )

Abstract

Sudden and complete binocular visual loss in a healthy young person is undoubtedly a major catastrophe to the patient. In our department of ophthamology we experienced a case of neuromyelitis optica on Apr. 1, 1976. Two months before admission he had common cold like symptoms and 7 days after that a paresthesia below the 5th thoracic level and paraplegia of his both lower legs associated with urinary incontinence and deficaticn difficulty were found. On Apr. 1, 1976. he had sudden bilateral visual loss down to HM/10cm. In fundus examination marked venous engorgement and blurred disc margin with elevation of disc were found. In his right eye optic atrophy, previousely existed, was found. As soon as he admitted in the ophthalmology ward medications of prednisolone, vitamin-B, kimotab, INH, per oral were administered. 4 days after medical treatment his visual acuity seemed to be improved. The symptoms of acute myelitis were also improved. At the time of discharge his left vision was 0.6 and the right vision FC/30cm. He has not visited ophthalmology department since then, so, no more follow up examination was possible.