A comparison of pediatric and adult neuromyelitis optica spectrum disorders: A review of clinical manifestation, diagnosis, and treatment

J Neurol Sci. 2018 May 15:388:222-231. doi: 10.1016/j.jns.2018.02.028. Epub 2018 Feb 19.

Abstract

Neuromyelitis optica spectrum disorder (NMOSD) is an autoimmune inflammatory disorder of the central nervous system (CNS). Serum immunoglobulin G autoantibodies (NMO-IgG) are identified in the majority of NMOSD patients. The Pediatric form presents before 18 years. Based on the similarity of clinical, neuroimaging, and laboratory characteristics of pediatric NMOSD to those of the adult form, the international panel suggested that adult criteria of NMOSD also are appropriate in pediatric patients. However, the proposed criteria need validation in pediatric patients. This strategy poses challenges to the study design in clinical trials in pediatric NMOSD patients.

Keywords: Neuromyelitis optica spectrum disorders - pediatric.

Publication types

  • Comparative Study
  • Review

MeSH terms

  • Adult
  • Animals
  • Child
  • Humans
  • Neuromyelitis Optica / diagnosis*
  • Neuromyelitis Optica / therapy*