Patient's question:
Enema for bowel movement for 2 months, leg weakness, sudden dryness and lack of sweat in the waist, excessive sweating in the shoulders and arms, poor memory. The illness onset was on March 25th, with symptoms of bloated stomach and headache. Diagnosed with low sodium and hospitalized for treatment. After discharge, prednisone was prescribed to maintain sodium levels until October 1st, when he was hospitalized again due to itching and pain in the upper body, with no effective treatment found. On November 21st, he was hospitalized again due to cervical spine pain, upper body itching, pain, and nausea, and was diagnosed with optic neuritis and spinal cord inflammation. After 34 days of hormone treatment, he was discharged. How should he be treated at home?Doctor's answer:
Hello, neuromyelitis optica is an acute or subacute demyelinating lesion of the optic nerve and spinal cord occurring simultaneously or successively. Its clinical diagnostic features include acute or subacute onset of monocular or binocular deafness, accompanied by transverse or ascending spinal cord inflammation weeks before or after. High-dose methylprednisolone pulse therapy can accelerate the complete recovery of recurrent symptoms such as ON, and halt or prolong the progression of NOM.