If you are experiencing problems downloading PDF or HTML fulltext, our helpdesk recommend clearing your browser cache and trying again. If you need help in clearing your cache, please click here . Still need help? Email help@ingentaconnect.com

Antibody-negative neuromyelitis optica with heavy B-cell infiltration

$48.00 plus tax (Refund Policy)

Download / Buy Article:


Blackburn D, Robin Highley J, Wharton S, Romanowski C, Bowen J, Sharrack B. Antibody-negative neuromyelitis optica with heavy B-cell infiltration. APMIS 2009; 117: 768–72.

There are several distinct clinical phenotypes of inflammatory demyelinating diseases of the central nervous system. In classical multiple sclerosis (MS) there are varied pathological patterns, possibly with differences in pathogenesis. Neuromyelitis optica (NMO) is often associated with a specific antibody, suggesting a distinct pathogenesis. We report a case of a young Caucasian male who presented with right hemiparesis secondary to a left fronto-parietal inflammatory brain lesion, which improved over years leaving minimal deficit. Seventeen years later he re-presented with a progressive tetraparesis secondary to cervical myelitis that did not respond to treatment. The NMO antibody was not detected and neuropathological examination was unusual with evidence of a persistent B-cell inflammatory response in the cord. Although having some of the clinical features of NMO, this case presented novel clinico-pathological features that do not easily fit into current MS subtypes.

Keywords: B lymphocytes; Neuromyelitis optica

Document Type: Research Article

DOI: http://dx.doi.org/10.1111/j.1600-0463.2009.02525.x

Affiliations: 1: Department of Neurology, Royal Hallamshire Hospital, University of Sheffield, Sheffield; 2: Department of Neuroscience, Academic Unit of Pathology, University of Sheffield Medical School, Sheffield

Publication date: October 1, 2009

Related content



Share Content

Access Key

Free Content
Free content
New Content
New content
Open Access Content
Open access content
Subscribed Content
Subscribed content
Free Trial Content
Free trial content
Cookie Policy
Cookie Policy
ingentaconnect website makes use of cookies so as to keep track of data that you have filled in. I am Happy with this Find out more