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Demyelinating Diseases: Multiple Sclerosis and Neuromyelitis Optica

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Atlas of Sellar and Parasellar Lesions

Abstract

Multiple sclerosis (MS) is a demyelinating disease that more commonly affects women; its occurrence is partially determined by ancestral background.

In patients with classic MS, hyperactivity of the hypothalamic-pituitary-adrenal axis and a chronically activated corticotropin-releasing hormone (CRH) system have been shown.

Neuromyelitis optica (NMO) spectrum disorder, also known as Devic’s disease, is a group of related demyelinating conditions with common manifestations in the suprasellar region and spinal cord. The optic chiasm, nerves, hypothalamus, and infundibulum are frequently affected. The spectrum of disease includes classic NMO, optic neuritis, Asian opticospinal MS, NMO with endocrinopathies, and other subtypes.

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References

  1. Ysrraelit MC, Gaitán MI, Lopez AS, Correale J. Impaired hypothalamic-pituitary-adrenal axis activity in patients with multiple sclerosis. Neurology. 2008;71:1948–54.

    Article  CAS  PubMed  Google Scholar 

  2. Fassbender K, Schmidt R, Mössner R, Kischka U, Kühnen J, Schwartz A, Hennerici M. Mood disorders and dysfunction of the hypothalamic-pituitary-adrenal axis in multiple sclerosis: association with cerebral inflammation. Arch Neurol. 1998;55:66–72.

    Article  CAS  PubMed  Google Scholar 

  3. Huitinga I, Erkut ZA, van Beurden D, Swaab DF. Impaired hypothalamus-pituitary-adrenal axis activity and more severe multiple sclerosis with hypothalamic lesions. Ann Neurol. 2004;55:37–45.

    Article  PubMed  Google Scholar 

  4. Storoni M, Davagnanam I, Radon M, Siddiqui A, Plant GT. Distinguishing optic neuritis in neuromyelitis optica spectrum disease from multiple sclerosis: a novel magnetic resonance imaging scoring system. J Neuroophthalmol. 2013;33:123–7.

    Article  PubMed  Google Scholar 

  5. Downer JJ, Leite MI, Carter R, Palace J, Küker W, Quaghebeur G. Diagnosis of neuromyelitis optica (NMO) spectrum disorders: is MRI obsolete? Neuroradiology. 2012;54:279–85.

    Article  PubMed  Google Scholar 

  6. Whitham RH, Brey RL. Neuromyelitis optica: two new cases and review of the literature. J Clin Neuroophthalmol. 1985;5:263–9.

    CAS  PubMed  Google Scholar 

  7. Baba T, Nakashima I, Kanbayashi T, Konno M, Takahashi T, Fujihara K, et al. Narcolepsy as an initial manifestation of neuromyelitis optica with anti-aquaporin-4 antibody. J Neurol. 2009;256:287–8.

    Article  PubMed  Google Scholar 

  8. Zhang Y, Dong R, Fan H, Li S, Geng D. Hypothalamus syndrome in opticospinal multiple sclerosis. AJNR Am J Neuroradiol. 2011;32:E153–5.

    Article  CAS  PubMed  Google Scholar 

  9. Suzuki K, Nakamura T, Hashimoto K, Miyamoto M, Komagamine T, Nagashima T, et al. Hypothermia, hypotension, hypersomnia, and obesity associated with hypothalamic lesions in a patient positive for the anti-aquaporin 4 antibody: a case report and literature review. Arch Neurol. 2012;69:1355–9.

    PubMed  Google Scholar 

  10. Petravić D, Habek M, Supe S, Brinar VV. Recurrent optic neuromyelitis with endocrinopathies: a new syndrome or just a coincidence? Mult Scler. 2006;12:670–3.

    Article  PubMed  Google Scholar 

  11. Vernant JC, Cabre P, Smadja D, Merle H, Caubarrère I, Mikol J, Poser CM. Recurrent optic neuromyelitis with endocrinopathies: a new syndrome. Neurology. 1997;48:58–64.

    Article  CAS  PubMed  Google Scholar 

  12. Hui AC, Wong RS, Ma R, Kay R. Recurrent optic neuromyelitis with multiple endocrinopathies and autoimmune disorders. J Neurol. 2002;249:784–5.

    Article  PubMed  Google Scholar 

  13. Yamasaki K, Horiuchi I, Minohara M, Osoegawa M, Kawano Y, Ohyagi Y, et al. Hyperprolactinemia in optico-spinal multiple sclerosis. Intern Med. 2000;39:296–9.

    Article  CAS  PubMed  Google Scholar 

  14. Wang F, Liu Y, Duan Y, Li K. Brain MRI abnormalities in neuromyelitis optica. Eur J Radiol. 2011;80:445–9.

    Article  PubMed  Google Scholar 

  15. Qiu W, Raven S, Wu JS, Bundell C, Hollingsworth P, Carroll WM, et al. Hypothalamic lesions in multiple sclerosis. J Neurol Neurosurg Psychiatry. 2011;82:819–22.

    Article  PubMed  Google Scholar 

  16. Poppe AY, Lapierre Y, Melançon D, Lowden D, Wardell L, Fullerton LM, Bar-Or A. Neuromyelitis optica with hypothalamic involvement. Mult Scler. 2005;11:617–21.

    Article  PubMed  Google Scholar 

  17. O’Riordan JI, Gallagher HL, Thompson AJ, Howard RS, Kingsley DP, Thompson EJ, et al. Clinical, CSF, and MRI findings in Devic’s neuromyelitis optica. J Neurol Neurosurg Psychiatry. 1996;60:382–7.

    Article  PubMed Central  PubMed  Google Scholar 

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

    Article  CAS  PubMed  Google Scholar 

  19. Wingerchuk DM. Diagnosis and treatment of neuromyelitis optica. Neurologist. 2007;13:2–11.

    Article  PubMed  Google Scholar 

  20. Sato D, Callegaro D, Lana-Peixoto MA, Fujihara K, Brazilian Committee for Treatment and Research in Multiple Sclerosis. Treatment of neuromyelitis optica: an evidence based review. Arq Neuropsiquiatr. 2012;70:59–66.

    Article  PubMed  Google Scholar 

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Correspondence to Gabriel Zada MD, MS .

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Zada, G., Lopes, M.B.S., Mukundan, S., Laws, E. (2016). Demyelinating Diseases: Multiple Sclerosis and Neuromyelitis Optica. In: Zada, G., Lopes, M., Mukundan Jr., S., Laws Jr., E. (eds) Atlas of Sellar and Parasellar Lesions. Springer, Cham. https://doi.org/10.1007/978-3-319-22855-6_58

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  • DOI: https://doi.org/10.1007/978-3-319-22855-6_58

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-22854-9

  • Online ISBN: 978-3-319-22855-6

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