Skip to main content

Abstract

Neuromyelitis optica (NMO), also called Devic’s disease, is a central nervous system inflammatory disease characterized by optic neuritis and longitudinally extensive acute transverse myelitis but also with brain involvement. Cognitive impairment is present in 54–57 % of patients. The main cognitive deficits are in long-term memory, speed of information processing, attention, and executive functions. The neural basis of cognitive troubles in NMO seems to be the whole WM but particularly the corpus callosum and the superior longitudinal fascicles. Depression and fatigue are frequent behavioral symptoms of NMO. Guidelines for the treatment of neuropsychological symptoms of NMO are needed: when clinical trials will be conducted in NMO patients, a neuropsychological evaluation will be necessary.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 159.00
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Gault F. De la Neuromyélite Optique aiguë. Thèse à la faculté de Médecine et de Pharmacie de Lyon 981; 1894.

    Google Scholar 

  2. Lennon VA, Wingerchuk DM, Kryzer TJ, Pittock SJ, Lucchinetti CF, et al. A serum autoantibody marker of neuromyelitis optica: distinction from multiple sclerosis. Lancet. 2004;364:2106–12.

    Article  CAS  PubMed  Google Scholar 

  3. Cabre P, Gonzalez-Quevedo A, Lannuzel A, Bonnan M, Merle H, et al. Descriptive epidemiology of neuromyelitis optica in the Caribbean basin. Rev Neurol (Paris). 2009;165:676–83.

    Article  CAS  Google Scholar 

  4. Rivera JF, Kurtzke JF, Booth VJ, Corona VT. Characteristics of Devic’s disease (neuromyelitis optica) in Mexico. J Neurol. 2008;255:710–5.

    Article  PubMed  Google Scholar 

  5. Cossburn M, Tackley G, Baker K, Ingram G, Burtonwood M, et al. The prevalence of neuromyelitis optica in South East Wales. Eur J Neurol. 2012;19:655–9.

    Article  CAS  PubMed  Google Scholar 

  6. Asgari N, Lillevang ST, Skejoe HP, Falah M, Stenager E, et al. A population-based study of neuromyelitis optica in Caucasians. Neurology. 2011;76:1589–95.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  7. Jarius S, Ruprecht K, Wildemann B, Kuempfel T, Ringelstein M, et al. Contrasting disease patterns in seropositive and seronegative neuromyelitis optica: a multicentre study of 175 patients. J Neuroinflammation. 2012;9:4.

    Article  Google Scholar 

  8. Collongues N, Marignier R, Zephir H, Papeix C, Blanc F, et al. Neuromyelitis optica in France: a multicenter study of 125 patients. Neurology. 2010;74:736–42.

    Article  CAS  PubMed  Google Scholar 

  9. Wingerchuk DM, Lennon VA, Pittock SJ, Lucchinetti CF, Weinshenker BG. Revised diagnostic criteria for neuromyelitis optica. Neurology. 2006;66:1485–9.

    Article  CAS  PubMed  Google Scholar 

  10. Paty DW, Oger JJ, Kastrukoff LF, Hashimoto SA, Hooge JP, et al. MRI in the diagnosis of MS: a prospective study with comparison of clinical evaluation, evoked potentials, oligoclonal banding, and CT. Neurology. 1988;38:180–5.

    Article  CAS  PubMed  Google Scholar 

  11. Flanagan EP, Weinshenker BG, Krecke KN, Lennon VA, Lucchinetti CF, et al. Short myelitis lesions in Aquaporin-4-IgG-positive neuromyelitis optica spectrum disorders. JAMA Neurol. 2015;72:81–7.

    Article  PubMed  Google Scholar 

  12. Jarius S, Wildemann B. Aquaporin-4 antibodies (NMO-IgG) as a serological marker of neuromyelitis optica: a critical review of the literature. Brain Pathol. 2013;23:661–83.

    Article  CAS  PubMed  Google Scholar 

  13. Marignier R, Bernard-Valnet R, Giraudon P, Collongues N, Papeix C, et al. Aquaporin-4 antibody-negative neuromyelitis optica: distinct assay sensitivity-dependent entity. Neurology. 2013;80:2194–200.

    Article  CAS  PubMed  Google Scholar 

  14. Misu T, Fujihara K, Kakita A, Konno H, Nakamura M, et al. Loss of aquaporin 4 in lesions of neuromyelitis optica: distinction from multiple sclerosis. Brain. 2007;130:1224–34.

    Article  CAS  PubMed  Google Scholar 

  15. Pittock SJ, Weinshenker BG, Lucchinetti CF, Wingerchuk DM, Corboy JR, et al. Neuromyelitis optica brain lesions localized at sites of high aquaporin 4 expression. Arch Neurol. 2006;63:964–8.

    Article  PubMed  Google Scholar 

  16. Nakamura M, Endo M, Murakami K, Konno H, Fujihara K, et al. An autopsied case of neuromyelitis optica with a large cavitary cerebral lesion. Mult Scler. 2005;11:735–8.

    Article  CAS  PubMed  Google Scholar 

  17. Blanc F, Zephir H, Lebrun C, Labauge P, Castelnovo G, et al. Cognitive functions in neuromyelitis optica. Arch Neurol. 2008;65:84–8.

    PubMed  Google Scholar 

  18. Saji E, Toyoshima Y, Yanagawa K, Nishizawa M, Kawachi I. Neuropsychiatric presentation of neuromyelitis optica spectrum disorders. Neurology. 2010;74:A169.

    Google Scholar 

  19. Vanotti S, Cores EV, Eizaguirre B, Melamud L, Rey R, et al. Cognitive performance of neuromyelitis optica patients: comparison with multiple sclerosis. Arq Neuropsiquiatr. 2013;71:357–61.

    Article  PubMed  Google Scholar 

  20. Saji E, Arakawa M, Yanagawa K, Toyoshima Y, Yokoseki A, et al. Cognitive impairment and cortical degeneration in neuromyelitis optica. Ann Neurol. 2013;73:65–76.

    Article  PubMed  Google Scholar 

  21. He D, Chen X, Zhao D, Zhou H. Cognitive function, depression, fatigue, and activities of daily living in patients with neuromyelitis optica after acute relapse. Int J Neurosci. 2011;121:677–83.

    Article  PubMed  Google Scholar 

  22. Cardona JF, Sinay V, Amoruso L, Hesse E, Manes F, et al. The impact of neuromyelitis optica on the recognition of emotional facial expressions: a preliminary report. Soc Neurosci. 2014;9:633–8.

    PubMed  Google Scholar 

  23. Blanc F, Noblet V, Jung B, Rousseau F, Renard F, et al. White matter atrophy and cognitive dysfunctions in neuromyelitis optica. PLoS One. 2012;7, e33878.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  24. Cummings JL. Subcortical dementia. Neuropsychology, neuropsychiatry, and pathophysiology. Br J Psychiatry. 1986;149:682–97.

    Google Scholar 

  25. Kawahara Y, Ikeda M, Deguchi K, Hishikawa N, Kono S, et al. Cognitive and affective assessments of multiple sclerosis (MS) and neuromyelitis optica (NMO) patients utilizing computerized touch panel-type screening tests. Intern Med. 2014;53:2281–90.

    Article  PubMed  Google Scholar 

  26. Borden A, Kulkarni C, Krieger D, Bhalerao S. Depression and Devic’s syndrome. Am J Psychiatr. 2004;161:1128–36.

    Article  PubMed  Google Scholar 

  27. Chanson JB, Zephir H, Collongues N, Outteryck O, Blanc F, et al. Evaluation of health-related quality of life, fatigue and depression in neuromyelitis optica. Eur J Neurol. 2011;18:836–41.

    Article  PubMed  Google Scholar 

  28. Vernant JC, Cabre P, Smadja D, Merle H, Caubarrere I, et al. Recurrent optic neuromyelitis with endocrinopathies: a new syndrome. Neurology. 1997;48:58–64.

    Article  CAS  PubMed  Google Scholar 

  29. Suzuki N, Takahashi T, Aoki M, Misu T, Konohana S, et al. Neuromyelitis optica preceded by hyperCKemia episode. Neurology. 2010;74:1543–5.

    Article  CAS  PubMed  Google Scholar 

  30. Pittock SJ, Lennon VA, Krecke K, Wingerchuk DM, Lucchinetti CF, et al. Brain abnormalities in neuromyelitis optica. Arch Neurol. 2006;63:390–6.

    Article  PubMed  Google Scholar 

  31. Yu CS, Lin FC, Li KC, Jiang TZ, Zhu CZ, et al. Diffusion tensor imaging in the assessment of normal-appearing brain tissue damage in relapsing neuromyelitis optica. AJNR Am J Neuroradiol. 2006;27:1009–15.

    CAS  PubMed  Google Scholar 

  32. Rocca MA, Agosta F, Mezzapesa DM, Martinelli V, Salvi F, et al. Magnetization transfer and diffusion tensor MRI show gray matter damage in neuromyelitis optica. Neurology. 2004;62:476–8.

    Article  CAS  PubMed  Google Scholar 

  33. de Seze J, Blanc F, Kremer S, Collongues N, Fleury M, et al. Magnetic resonance spectroscopy evaluation in patients with neuromyelitis optica. J Neurol Neurosurg Psychiatry. 2010;81:409–11.

    Article  PubMed  Google Scholar 

  34. Aboul-Enein F, Krssak M, Hoftberger R, Prayer D, Kristoferitsch W. Diffuse white matter damage is absent in neuromyelitis optica. AJNR Am J Neuroradiol. 2010;31:76–9.

    Article  CAS  PubMed  Google Scholar 

  35. Bichuetti DB, Rivero RL, de Oliveira EM, Oliveira DM, de Souza NA, et al. White matter spectroscopy in neuromyelitis optica: a case control study. J Neurol. 2008;255:1895–9.

    Article  PubMed  Google Scholar 

  36. Popescu BF, Parisi JE, Cabrera-Gomez JA, Newell K, Mandler RN, et al. Absence of cortical demyelination in neuromyelitis optica. Neurology. 2010;75:2103–9.

    Article  PubMed Central  PubMed  Google Scholar 

  37. Chalumeau-Lemoine L, Chretien F, Gaelle Si Larbi A, Brugieres P, Gray F, et al. Devic disease with brainstem lesions. Arch Neurol. 2006;63:591–3.

    Article  PubMed  Google Scholar 

  38. Zaidel DW. The case for a relationship between human memory, hippocampus and corpus callosum. Biol Res. 1995;28:51–7.

    CAS  PubMed  Google Scholar 

  39. Eichenbaum H, Lipton PA. Towards a functional organization of the medial temporal lobe memory system: role of the parahippocampal and medial entorhinal cortical areas. Hippocampus. 2008;18:1314–24.

    Article  PubMed Central  PubMed  Google Scholar 

  40. Vestergaard M, Madsen KS, Baare WF, Skimminge A, Ejersbo LR, et al. White matter microstructure in superior longitudinal fasciculus associated with spatial working memory performance in children. J Cogn Neurosci. 2011;23:2135–46.

    Article  PubMed  Google Scholar 

  41. Cabeza R, Ciaramelli E, Olson IR, Moscovitch M. The parietal cortex and episodic memory: an attentional account. Nat Rev Neurosci. 2008;9:613–25.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  42. Benarroch EE. The locus ceruleus norepinephrine system: functional organization and potential clinical significance. Neurology. 2009;73:1699–704.

    Article  PubMed  Google Scholar 

  43. Sara SJ. The locus coeruleus and noradrenergic modulation of cognition. Nat Rev Neurosci. 2009;10:211–23.

    Article  CAS  PubMed  Google Scholar 

  44. Ozturk A, Smith SA, Gordon-Lipkin EM, Harrison DM, Shiee N, et al. MRI of the corpus callosum in multiple sclerosis: association with disability. Mult Scler. 2010;16:166–77.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  45. Bledowski C, Kaiser J, Rahm B. Basic operations in working memory: contributions from functional imaging studies. Behav Brain Res. 2010;214:172–9.

    Article  PubMed  Google Scholar 

  46. Tulving E. Episodic memory: from mind to brain. Annu Rev Psychol. 2002;53:1–25.

    Article  PubMed  Google Scholar 

  47. Koenigs M, Acheson DJ, Barbey AK, Solomon J, Postle BR, et al. Areas of left perisylvian cortex mediate auditory-verbal short-term memory. Neuropsychologia. 2011;49:3612–9.

    Article  PubMed Central  PubMed  Google Scholar 

  48. He D, Wu Q, Chen X, Zhao D, Gong Q, et al. Cognitive impairment and whole brain diffusion in patients with neuromyelitis optica after acute relapse. Brain Cogn. 2011;77:80–8.

    Article  PubMed  Google Scholar 

  49. Jarius S, Wildemann B, Paul F. Neuromyelitis optica: clinical features, immunopathogenesis and treatment. Clin Exp Immunol. 2014;176:149–64.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  50. Papadopoulos MC, Bennett JL, Verkman AS. Treatment of neuromyelitis optica: state-of-the-art and emerging therapies. Nat Rev Neurol. 2014;10:493–506.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Frédéric Blanc MD, PhD, HdR .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Blanc, F. (2015). Neuropsychiatry of Neuromyelitis Optica. In: Brochet, B. (eds) Neuropsychiatric Symptoms of Inflammatory Demyelinating Diseases. Neuropsychiatric Symptoms of Neurological Disease. Springer, Cham. https://doi.org/10.1007/978-3-319-18464-7_17

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-18464-7_17

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-18463-0

  • Online ISBN: 978-3-319-18464-7

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics