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Paediatric neuromyelitis optica: clinical, MRI of the brain and prognostic features.

Michael AbsoudMing J LimRichard AppletonAnu JacobJoanna KitleyM Isabel LeiteMichael G PikeAngela VincentEvangeline WassmerPatrick WatersMark WoodhallCheryl HemingwayJacqueline Palace
Published in: Journal of neurology, neurosurgery, and psychiatry (2014)
In children, NMO is associated with early recurrence and visual impairment in AQP4-Ab positivity and physical disability in AP4-Ab negative relapsing cases. Distinct MRI changes appear more commonly and earlier compared to adult NMO. Early AQP4-Ab testing may allow prompt immunomodulatory treatment to minimise disability.
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