A 28-year-old man presents with acute bilateral leg paralysis, urinary retention, and acute lower back pain following lower back sensory loss. Vital signs: BP 128/82 mmHg, HR 92/min, RR 16/min, temp 37.2°C, SpO2 98% on room air. MRI cervical and thoracic spine shows T2 hyperintensity spanning 3 thoracic vertebral segments; brain MRI is normal. CSF analysis reveals elevated protein. Which antibody is most likely positive?

  1. A)Anti-nuclear antibody (ANA)
  2. B)Anti-NMDA receptor
  3. C)Anti-aquaporin-4 (AQP4)GABARITO
  4. D)Anti-myelin oligodendrocyte glycoprotein (MOG)
  5. E)Anti-amphiphysin

Explicação

Longitudinally extensive transverse myelitis (LETM) with cord involvement spanning ≥3 segments, presenting with bilateral leg paralysis and urinary retention, is characteristic of neuromyelitis optica spectrum disorder (NMOSD). Anti-AQP4 antibodies are present... Ver explicação completa e trilha adaptativa →

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