Anti-MOG encephalomyelitis
Anti-MOG associated encephalomyelitis falls under the umbrella of neuromyelitis optica spectrum disorder (NMOSD) which is the target of rapidly developing research.
Despite a predominance of anti-MOG encephalomyelitis in children and young adults 1, this case demonstrates occurrence in an older individual, which caused a diagnostic dilemma.
This case also demonstrates the benefit of the 3 tesla scanner in the diagnosis of this disease, which was capable of demonstrating multiple imaging features that are useful in distinguishing this entity from other demyelinating diseases (e.g. MS):
- large, confluent lesions
- smooth confluent periependymal involvement
- more extensive involvement of the corpus callosum (especially its ependymal surface)
- diencephalic involvement
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