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Life Threatening? Yes
Write-up: 12/06-1/12/07 abdominal pain, nausea, vomiting. 1/15/07 upper GI. 3/15/07 GARDASIL #1. 3/20/07 unknown rash. 5/7/07 GARDASIL #2. 5/26/07 unknown rash. 9/14/07 GARDASIL #3. 9/24/07 unknown rash. 11/27/07 unknown rash. 2/20/08 ATTACK...left optic neuropathy, treated with prednisone over several days. Test positive for NMO IgG. 2/28/08 MRI Brain scan to determine damage to optic nerve. 3/1/08-5/18/08 prednisone treatment plan. 3/27/08 diagnosis of NMO from clinic. Discussed treatment with RITIXIMAB. 4/10/08 MRI thoracic spine, lesion discovered. 4/14/08 chest x ray. 5/16/08 leg pain, numbness. 5/20/08 hospital visit confirm diagnosis of NMO. 6/15/08-6/17/08 ATTACK...back pain/numbness in right leg/stomach numbness. 6/18/08 MRI thoracic spinal lesion confirmed. 6/18-6/22 Infusion SOLU-MEDROL 1000 mg (home). 6/22/08 ATTACK..back pain/numbness right leg/stomach numbness. 6/23/08-8/9/08 MEDROL tablet started. 7/14/08 MRI thoracic (follow up). 7/16 Infusion SOLU-MEDROL 1000 mg (hospital). 7/30/08 Infusion SOLU-MEDROL 1000 mg (hospital). 8/20/08 back pain. 8/20/08 MRI thoracic lesion noted. 10/3/08 back pain. 10/6/08 ATTACK...back pain. 10/7/08 back pain. 10/7/08-10/11/08 Infusion SOLU-MEDROL 1000mg (hospital). 10/27/08 mild back pain. 10/27/08 Infusion SOLU-MEDROL 1000mg (home). The medical team''s initial evaluation, at this time, leads them to believe than the GARDASIL vaccine was the "trigger" that caused the NMO to surface. 11/24/08-records received-Neurology consult 6/20/08-3-5 episodes nausea and vomiting December 2006, symptoms resolved. Rashes after 3 Gardasil vaccinations. In February while on vacation in Mexico developed pain and decreased vision in left eye. MRI demonstrated enhancing lesion in left optic nerve, neuraxis. DX neuromyelitis optica. Three weeks ago intermittent episodes low back pain and hospitalized for severe impaction. Now C/O recurrence of back pain and numbness below waist. C/O numbness in both lower extremities left greater than right. 1/28/2010 Diagnosed with Neuromyelitis Optica (NMO) and continues to have attacks which leave spinal lesions in place. On combination of drugs to mitigate attacks.
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