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eISSN: 1643-3750

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Visual evoked potentials in early diagnosis of demyelinating diseases – a case report of Devic’s disease

Ewa Langwińska-Wośko, Kamil Szulborski, Karina Broniek-Kowalik

Med Sci Monit 2012; 18(10): CS82-84

DOI: 10.12659/MSM.883473


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.

This paper has been published under Creative Common Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) allowing to download articles and share them with others as long as they credit the authors and the publisher, but without permission to change them in any way or use them commercially.
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