PMID- 34455476 OWN - NLM STAT- MEDLINE DCOM- 20220324 LR - 20220324 IS - 1432-1459 (Electronic) IS - 0340-5354 (Linking) VI - 269 IP - 4 DP - 2022 Apr TI - Clinical difference after the first optic neuritis between aquaporin-4-IgG-associated and myelin oligodendrocyte glycoprotein-IgG-associated disorders. PG - 1996-2003 LID - 10.1007/s00415-021-10764-7 [doi] AB - OBJECTIVE: To investigate the difference in clinical course after the first optic neuritis (ON) between aquaporin-4 IgG-associated disorder (AQPAD) and myelin oligodendrocyte glycoprotein-IgG-associated disorder (MOGAD) METHODS: In this study, 31 eyes in 24 patients with AQPAD and 26 eyes in 18 patients with MOGAD were included. The clinical course for the first 6 months after the first ON was monitored by a retrospective cohort study. Best-corrected visual acuity (BCVA) was observed before the onset and at nadir, 2 weeks (2 W), 1 month (1 M), 2 months (2 M), 3 months (3 M) and 6 months (6 M). The decimal BCVA was converted to the logarithm of the minimal angle of resolution (logMAR) for statistical analyses. RESULTS: MOGAD eyes showed longer median number of days from ON onset to nadir (6.0 vs. 11.5, P = 0.012) and to treatment (7.0 vs. 11.0, P = 0.020) than AQPAD eyes. The median logMAR was higher in AQPAD eyes than in MOGAD eyes at nadir (2.00 vs. 1.77, P = 0.050), 2 W (1.85 vs. 0.40, P = 0.001), 2 M (0.023 vs. - 0.079, P = 0.032) and 3 M (0.046 vs. - 0.079, P = 0.002). The median time to recovery of BCVA to 0.7 was longer in AQPAD eyes than in MOGAD eyes (44.0 vs. 21.0 days, P = 0.024), but that to BCVA 1.0 was not different between the two disorders (168.0 vs. 40.0 days, respectively, P = 0.056). CONCLUSION: Compared with MOGAD eyes, AQPAD eyes tended to show worse visual outcome even during the first ON episode. CI - (c) 2021. Springer-Verlag GmbH Germany, part of Springer Nature. FAU - Masuda, Hiroki AU - Masuda H AUID- ORCID: 0000-0002-4106-6482 AD - Department of Neurology, Graduate School of Medicine, Chiba University, 1-8-1, Inohana, Chuo-ku, Chiba, 260-8670, Japan. hiroki_masuda@chiba-u.jp. FAU - Mori, Masahiro AU - Mori M AD - Department of Neurology, Graduate School of Medicine, Chiba University, 1-8-1, Inohana, Chuo-ku, Chiba, 260-8670, Japan. FAU - Yokouchi, Hirotaka AU - Yokouchi H AD - Department of Ophthalmology and Visual Science, Graduate School of Medicine, Chiba University, 1-8-1, Inohana, Chuo-ku, Chiba, 260-8670, Japan. FAU - Uzawa, Akiyuki AU - Uzawa A AD - Department of Neurology, Graduate School of Medicine, Chiba University, 1-8-1, Inohana, Chuo-ku, Chiba, 260-8670, Japan. FAU - Uchida, Tomohiko AU - Uchida T AD - Department of Neurology, Graduate School of Medicine, Chiba University, 1-8-1, Inohana, Chuo-ku, Chiba, 260-8670, Japan. FAU - Muto, Mayumi AU - Muto M AD - Department of Neurology, Graduate School of Medicine, Chiba University, 1-8-1, Inohana, Chuo-ku, Chiba, 260-8670, Japan. AD - Department of Neurology, Chiba Rosai Hospital, 2-16, Tatsumidai-higashi, Ichihara, 290-0003, Japan. FAU - Ohtani, Ryohei AU - Ohtani R AD - Department of Neurology, Graduate School of Medicine, Chiba University, 1-8-1, Inohana, Chuo-ku, Chiba, 260-8670, Japan. AD - Department of Neurology, JR Tokyo General Hospital, 2-1-3, Yoyogi, Shibuya-ku, Tokyo, 151-8528, Japan. FAU - Aoki, Reiji AU - Aoki R AD - Department of Neurology, Graduate School of Medicine, Chiba University, 1-8-1, Inohana, Chuo-ku, Chiba, 260-8670, Japan. FAU - Yamamoto, Shuichi AU - Yamamoto S AD - Department of Ophthalmology and Visual Science, Graduate School of Medicine, Chiba University, 1-8-1, Inohana, Chuo-ku, Chiba, 260-8670, Japan. FAU - Kuwabara, Satoshi AU - Kuwabara S AD - Department of Neurology, Graduate School of Medicine, Chiba University, 1-8-1, Inohana, Chuo-ku, Chiba, 260-8670, Japan. LA - eng PT - Journal Article DEP - 20210829 PL - Germany TA - J Neurol JT - Journal of neurology JID - 0423161 RN - 0 (Aquaporin 4) RN - 0 (Autoantibodies) RN - 0 (Immunoglobulin G) RN - 0 (Myelin-Oligodendrocyte Glycoprotein) SB - IM MH - Aquaporin 4 MH - Autoantibodies MH - Humans MH - Immunoglobulin G MH - Myelin-Oligodendrocyte Glycoprotein MH - *Neuromyelitis Optica/complications MH - *Optic Neuritis/complications MH - Retrospective Studies OTO - NOTNLM OT - Aquaporin-4 OT - Myelin oligodendrocyte glycoprotein OT - Neuromyelitis optica spectrum disorder OT - Optic neuritis OT - Visual acuity EDAT- 2021/08/30 06:00 MHDA- 2022/03/25 06:00 CRDT- 2021/08/29 21:05 PHST- 2021/06/16 00:00 [received] PHST- 2021/08/18 00:00 [accepted] PHST- 2021/08/17 00:00 [revised] PHST- 2021/08/30 06:00 [pubmed] PHST- 2022/03/25 06:00 [medline] PHST- 2021/08/29 21:05 [entrez] AID - 10.1007/s00415-021-10764-7 [pii] AID - 10.1007/s00415-021-10764-7 [doi] PST - ppublish SO - J Neurol. 2022 Apr;269(4):1996-2003. doi: 10.1007/s00415-021-10764-7. Epub 2021 Aug 29.