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We describe an unusual presentation of Neuromyelitis Optica (NMO). A young boy presented with two days history of acute onset flaccid paraplegia. Electrophysiological study showed only absence of F wave. Initial exam was suggestive of Gullian-Barre Syndrome (GBS). Nevertheless, MRI spine demonstrated a contrast enhancing lesion in conus medullaris. Few days later, patient developed bilateral optic neuritis. NMO was diagnosed then. Antibody to Aquaporin 4 was not found in the serum, but to Myelin Oligodendrocyte Glycoprotein (MOG) was present. Patient… More Articles

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