Short delay to initiate plasma exchange is the strongest predictor of outcome in severe attacks of NMO spectrum disorders.
Mickael BonnanRudy ValentinoStéphane DebeugnyHarold MerleJean-Louis FergéHossein MehdaouiPhilippe CabrePublished in: Journal of neurology, neurosurgery, and psychiatry (2017)
These results confirm an improved clinical benefit of early initiation of PLEX during severe attacks of NMO-SD. Perceiving PLEX as a rescue therapy only after steroid failure could be deleterious.
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