Opticomyelitis Devica

Optomyelitis, or Devic's disease, is a demyelinating pathology that is accompanied by a characteristic triad: damage to the spinal cord, optic nerve, and the presence of serum NMO-IgG antibodies. Changes can also spread to other CNS structures that contain aquaporin-4.
Previously, opticoneuromyelitis was considered a form of multiple sclerosis, but it is now recognized as an independent disease. The incidence of the disease peaks at the age of 40, and women are more susceptible to the pathology.

Symptoms

The clinical picture in Devic's opticomyelitis includes such specific manifestations:
    • neuritis of the optic nerve with significant loss of vision, up to blindness;
    • Hiccups, nausea, and vomiting, which are difficult to eliminate because of damage to the brain structures that control these processes;
    • loss of muscle strength;
    • decreased motor activity of the limbs (often paresis of the legs);
    • pelvic organ dysfunction, urinary incontinence.

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Reasons

The main cause of the disease is the demyelination of the CNS membrane combined with a pathological immune response. The provoking factors are not precisely identified, but some studies indicate that the risk of opticoneuromyelitis is increased by infections, autoimmune conditions (Sjogren's syndrome, systemic lupus erythematosus, autoimmune thyroiditis, etc.).

Diagnostic methods

The VIVERE CLINIC carries out a comprehensive examination of patients to determine the characteristic signs of optomyelitis and to identify the cause of its development, the focus of the lesion. The following methods may be used:
    • MRI of the spinal cord, brain, and orbits;
    • the study of visual evoked potentials;
    • іpinal fluid analysis for antibodies to aquaporin-4, oligoclonal IgG, anti-MOG.

The diagnostic scheme is made individually for each patient. A consultation with a neuro-ophthalmologist may also be required. All diagnostic services can be obtained in our clinic, which makes the examination much easier for the patient and saves time for diagnosis.

Prevention

To reduce the risk of developing opticoneuromyelitis, it is worth minimizing stress, timely treating infectious and autoimmune diseases, and eliminating bad habits.

Treatment of Devic's opticomyelitis

At the VIVERE CLINIC, diagnostics and treatment programs are performed by leading neuroimmunologists and doctors from other subspecialties who have practical experience in selecting and monitoring therapy for demyelinating conditions. You can receive specific treatment at our clinic as an inpatient or outpatient.
A medication program may include steroids, immunoglobulin, and plasmapheresis. Immunosuppressive or immunomodulatory treatment may also be used. The choice of drugs and the dosage are determined individually, taking into account the severity of the clinical picture, the localization, and the extent of demyelination foci.

Recommendations

Early diagnosis and timely initiation of therapy can slow the progression of opticoneuromyelitis, improve the patient's quality of life, restore the function of internal organs, and preserve vision. Therefore, it is worth making an appointment with a specialist when any pathological signs appear.

Cost

The cost of examination and therapy depends on the methods prescribed and is determined individually for each clinical case.
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Елена Моцарь

Доброго дня! Нарешті я написала відгук, вже півроку з вами) Я мама дитини, яка до 18 років мала купу діагнозів, які і близько не мали відношення до нашої хвороби! Уявіть, скільки часу було витрачено... лікування ніяке (звісно) не допомагало, а ставало ще гірше. Доки нам не порекомендували Шейко Макар Васильовича! Сказати, що Він нам допоміг , це нічого не сказати! Макар Васильович врятував мою Софію! Завдяки правильній діагностиці, ми маємо НАШ діагноз (рідке орфанне захворювання) і правильне лікування. Я бачу поліпшення, моя дитина як заново народилася! Макар Васильович - це дбайлива і дуже чутна Людина, якій довіряєш! На прийомі немає оцього бар'єру лікар-пацієнт, ви як прийшли до друга, який вас підбадьорить, вислухає. Дуже рекомендую!

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Наталія

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