Relapse management

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,…

“What doesn’t kill you makes you stronger,” as they say. Along those lines, my first experience with plasmapheresis for neuromyelitis optica spectrum disorder (NMOSD) was both intense and helpful. In May, I suffered an optic neuritis attack in my left eye. After five days of intravenous…

People having area postrema syndrome (APS), that is, uncontrollable nausea, vomiting, or hiccups, as the first symptom of neuromyelitis optica spectrum disorder (NMOSD) are more likely to relapse sooner and more frequently than those having another first symptom. These are the main findings of a single-center study that retrospectively…

Higher levels of self-reactive antibodies against aquaporin-4 protein (AQP4), which drives neuroinflammation in most cases of neuromyelitis optica spectrum disorder (NMOSD), correlate with more severe relapses and visual disability, according to a large study. Even after treatment with immunosuppressive agents, patients with high anti-AQP4 antibodies experienced more severe relapses.

Note: This column describes the author’s own experiences with Solu-Medrol (methylprednisolone) and the Homepump Eclipse. Not everyone will have the same response to treatment. Consult your doctor before starting or stopping a therapy. Initially, I took a blasé approach to my most recent neuromyelitis optica spectrum disorder…

People with neuromyelitis optica spectrum disorder (NMOSD) who have experienced only one relapse tend to underestimate their risk of future relapses, but patients who’ve had multiple relapses tend to overestimate this risk, a small study has found. The findings underscore the importance of clear communication with healthcare providers so…

People who develop neuromyelitis optica spectrum disorder (NMOSD) at an older age are more likely to experience spinal cord inflammation and less likely to have eye nerve involvement, not only in the first attack but also in subsequent relapses, a study has found. In addition, data show “different relapse…

About 1 in 10 people who are hospitalized for neuromyelitis optica spectrum disorder (NMOSD) are readmitted to the hospital within 30 days, or about one month after discharge, a U.S. study found. Older patients — specifically those in the age range of 65 to 74 — and individuals who…

Knowing when to make that crucial trip to the emergency room is a concern that plagues everybody with neuromyelitis optica spectrum disorder (NMOSD). It’s a dilemma that leaves us anxious and unsure. I’m battling a bladder infection, and admitting I have one typically fills me with embarrassment. But each…