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A Rare Case of Bilateral Optic Neuritis and Guillain-Barre Syndrome Post Mycoplasma Pneumoniae Infection
Neuro Opth 41:41-47, Baheerathan, A.,et al, 2017
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Article Abstract
Neurological complications are the most commonly encountered extra-pulmonary manifestation of infection with Mycoplasma Pneumoniae (M. pneumoniae). Here the authors report the case of a 39-year-old woman who was admitted with acute-onset bilateral visual loss coinciding with ascending numbness. Clinical examination, neurological imaging, and nerve conduction studies revealed a syndrome of bilateral optic neuritis and Guillain-Barr� syndrome (GBS). Serological testing confirmed recent exposure to M. Pneumoniae. The patient did not experience any clinical benefit with pulsed intravenous methylprednisolone but demonstrated marked clinical and radiological improvement following 5 days of plasma exchange. This report will explore the diagnostic and therapeutic approach to patients with neuro-ophthalmological and neurological complications of M. pneumoniae infection in addition to discussing previously encountered cases.
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areflexia
blindness
Guillain Barre syndrome
MRI,abnormal
MRI,contrast enhanced
MRI,optic nerve
mycoplasma
mycoplasma pneumoniae
optic nerve,enhancement
optic neuritis
optic neuritis,bilateral
paresthesias,feet
paresthesias,hands
plasmapheresis
visual loss
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