Paraneoplastic Neuromyelitis Optica Spectrum Disorder: A Rare Case of Advanced Breast Cancer with Intractable Nausea and Vomiting

Daisuke Miyagishima; Toshiharu Anezaki; Akiyo Fukuda; Hiroki Watanabe; Maki Hata; Masanobu Eguchi

doi:10.12659/AJCR.941808

07 November 2023 : Case report Japan

Paraneoplastic Neuromyelitis Optica Spectrum Disorder: A Rare Case of Advanced Breast Cancer with Intractable Nausea and Vomiting

Challenging differential diagnosis, Rare coexistence of disease or pathology

Daisuke Miyagishima

^1ABEF*, Toshiharu Anezaki^2CD, Akiyo Fukuda^3BD, Hiroki Watanabe^3BD, Maki Hata^4D, Masanobu Eguchi^5BD

DOI: 10.12659/AJCR.941808

Am J Case Rep 2023; 24:e941808

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Figure 3. Magnetic resonance imaging (MRI) of the thoracic and lumbar spinal cord on day 29 of admission. (A) Sagittal T1-weighted image shows slightly swollen lower thoracic and lumbar spinal cord. (B) Sagittal T2-weighted image shows longitudinal abnormal lesions extending from Th5 to the medullary cone (yellow allows), consistent with longitudinal extensive transverse myelitis. (C) Axial T2-weighted image at the level of Th5 shows that these lesions mainly occupy the gray matter of the spinal cord.

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Paraneoplastic Neuromyelitis Optica Spectrum Disorder: A Rare Case of Advanced Breast Cancer with Intractable Nausea and Vomiting

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