Two Rare Coexisting Diseases and an Uncommon Presentation: Migraine, and Neuromyelitis Optica Presented with Cervicogenic Headache - A Case Report
Abstract
Neuromyelitis optica (NMO) is a rare autoimmune disorder distinguished by optic neuritis, transverse myelitis, and area postrema syndrome. Headaches as an initial manifestation are uncommon and often overlooked. This case describes a 46-year-old female with a 20-year history of migraines. The patient developed cervicogenic headaches three years before presenting with optic neuritis. MRI findings of optic and spinal lesions, together with positive aquaporin-4 immunoglobulin G antibodies, corroborated the diagnosis of NMO. Treatment with intravenous methylprednisolone, azathioprine
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