Relapse management

A short-course of Soliris (eculizumab) treatment during relapses may help people with neuromyelitis optica spectrum disorder (NMOSD) recover faster when standard therapies fail, a small study in China suggests. Patients who saw little or no improvement after corticosteroids, with or without plasma exchange, experienced meaningful gains in mobility…

Specific nerve damage and shrinkage in key brain regions are associated with a faster time to relapse and worsening disability among adults with neuromyelitis optica spectrum disorder (NMOSD) who test positive for antibodies against the AQP4 protein, according to a study in Italy. Researchers used advanced MRI techniques to…

Double-filtration plasmapheresis (DFPP), an advanced blood-cleaning procedure, is equally effective as high-dose corticosteroids for treating acute attacks associated with neuromyelitis optica spectrum disorder (NMOSD), but comes with fewer side effects, according to a new study from China. DFPP selectively removes disease-driving self-reactive antibodies from the bloodstream while retaining…

People who develop neuromyelitis optica spectrum disorder (NMOSD) at 50 years or older are significantly more likely to experience worse recovery from relapses and faster disability progression than those with early-onset disease, a study in Germany showed. These increased risks were seen despite comparable relapse rates, more intensive relapse…

A predictive model based on laboratory and clinical risk factors for relapses in neuromyelitis optica spectrum disorder (NMOSD) was found to accurately discriminate NMOSD patients experiencing a relapse within one year of diagnosis from those without a relapse, a study showed. The identified risk factors were numbers and ratios…

When I felt the familiar heaviness in my body, I bravely faced it. “It’s OK,” I told myself. “I’ve been here before and recovered. I can do this.” As I lay in the hospital bed, a prisoner to the many doctors and specialists who checked on me throughout the day…

Soliris (eculizumab) may help relieve symptoms during severe attacks in the acute phase of neuromyelitis optica spectrum disorder (NMOSD) when other treatments are ineffective, according to a case series study from Japan. The study included five patients who had experienced severe NMOSD attacks that did not respond well…

Having to deal with my sixth major neuromyelitis optica spectrum disorder (NMOSD) attack is not how I wanted to end 2024 or start the new year. Unfortunately, it’s just my reality. What’s considered an attack? It’s when your symptoms hit a high point. For NMOSD patients, that may…

Combining blood-cleaning therapies such as plasma exchange or immunoadsorption with standard steroid treatment can improve recovery outcomes in patients having an attack of neuromyelitis optica spectrum disorder (NMOSD), a study that reported no significant safety concerns shows. The study, “Efficacy and safety of apheresis therapy in AQP4 antibody‐positive…

Neuromyelitis optica spectrum disorder (NMOSD) patients whose first symptoms affect the brainstem, which is the bottommost part of the brain, are frequently misdiagnosed and experience higher rates of relapses, according to a two-center study in China. Data also showed about half of these patients initially experienced uncontrollable nausea, vomiting,…