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신창록 ( Sin Chang Log ),전재범 ( Jeon Jae Beom ),심종걸 ( Sim Jong Geol ),정성수 ( Jeong Seong Su ),김성윤 ( Kim Seong Yun ),송홍기 ( Song Hong Gi ),정경천 ( Jeong Gyeong Cheon ),김명호 ( Kim Myeong Ho ) 대한내과학회 1990 대한내과학회지 Vol.38 No.1
N/A An eighteen-year-old girl with systemic lupus erythematosus developed sudden total blindness and paraplegia. On examination, both pupils did not react to light and optokinetic nystagmus did not appear. The fundus was normal. The paralysis was the upper motor neuron type with a loss of sensation below the T₄ level. Control of bladder and rectal sphincters was lost. The CSF pressure was 150㎜H₂O and fluid analysis showed protein 92㎎%, gluscose 43㎎% and WBC 40/㎜₃. Computed tomography of the brain and spinal cord showed no definite lesion. MRI of the brain demonstrated multiple small areas of increased signal intensities at the paraventricular white matter, suggesting a demyelinating process. A diagnosis of Devic`s syndrome was made and she received steroid pulse therapy. The symptoms of transverse myelitis recovered completely but visual acuity showed only partial improvement.