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Case Report
©Author(s) (or their employer(s)) 2026.
World J Clin Pediatr. Mar 9, 2026; 15(1): 113155
Published online Mar 9, 2026. doi: 10.5409/wjcp.v15.i1.113155
Table 1 Literature data reviewed and summarized
Ref.
Patients (age/sex)
Clinical presentation
NMO-IgG/CSF
Treatment
Outcome
Nightingale et al[13], 2011 (case 1)78 years, adultBilateral leg weakness, sensory changes in feet, areflexiaNMO-IgG positiveIV methylprednisolone + plasma exchangeSensory improvement, persistent motor deficit
Nightingale et al[13], 2011 (case 2)31 years, adultLeg weakness + paresthesia (5 days)NMO-IgG negativeIV methylprednisoloneComplete remission within 3 months
Koul et al[25], 201719 children (20-year retrospective study)18 (94.6%) with LETM lesions-Various therapiesNot reported in detail
Celik et al[26], 202115 children (8 female, 7 male)Inability to walk (80%), incontinence (60%), low back pain (26.6%), abdominal pain (13.3%), upper limb weakness (13.3%)-Immunomodulators (early = better prognosis)Better motor and continence recovery when treated early
Chawla et al[1], 201961 years, woman with SLE and RAChest/gait paresthesia, lower limb weakness, urinary incontinence, unsteady gaitCSF normal-Not specified
Chandrasekar et al[2], 2022 (3 cases)3 childrenCase 1 bilateral vision loss, headache, vomiting, seizures; case 2 abdominal pain, urinary retention, constipation, patchy sensory loss; case 3 fever, lower limb weakness, hypotonia, muscle strength 1-2/5-Early aggressive immunomodulatory therapyImprovement in 2 cases
Celik et al[26], 2021Various patients (IgG4, NMO, other etiologies)LETM is associated with various conditions (inflammatory, infectious, neoplastic, metabolic)Variable-Variable