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PowerPoint Presentation2. Positive test for AQP4-lgG using best available detection method (cell-based assay strongly recommended) 3. Exclusion of alternative diagnosesa Diagnostic

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Page 1: PowerPoint Presentation2. Positive test for AQP4-lgG using best available detection method (cell-based assay strongly recommended) 3. Exclusion of alternative diagnosesa Diagnostic
Page 2: PowerPoint Presentation2. Positive test for AQP4-lgG using best available detection method (cell-based assay strongly recommended) 3. Exclusion of alternative diagnosesa Diagnostic
Page 3: PowerPoint Presentation2. Positive test for AQP4-lgG using best available detection method (cell-based assay strongly recommended) 3. Exclusion of alternative diagnosesa Diagnostic
Page 4: PowerPoint Presentation2. Positive test for AQP4-lgG using best available detection method (cell-based assay strongly recommended) 3. Exclusion of alternative diagnosesa Diagnostic
Page 5: PowerPoint Presentation2. Positive test for AQP4-lgG using best available detection method (cell-based assay strongly recommended) 3. Exclusion of alternative diagnosesa Diagnostic
Page 6: PowerPoint Presentation2. Positive test for AQP4-lgG using best available detection method (cell-based assay strongly recommended) 3. Exclusion of alternative diagnosesa Diagnostic
Page 7: PowerPoint Presentation2. Positive test for AQP4-lgG using best available detection method (cell-based assay strongly recommended) 3. Exclusion of alternative diagnosesa Diagnostic
Page 8: PowerPoint Presentation2. Positive test for AQP4-lgG using best available detection method (cell-based assay strongly recommended) 3. Exclusion of alternative diagnosesa Diagnostic
Page 9: PowerPoint Presentation2. Positive test for AQP4-lgG using best available detection method (cell-based assay strongly recommended) 3. Exclusion of alternative diagnosesa Diagnostic
Page 10: PowerPoint Presentation2. Positive test for AQP4-lgG using best available detection method (cell-based assay strongly recommended) 3. Exclusion of alternative diagnosesa Diagnostic

(Optic Neuritis Study, 2008)

Page 11: PowerPoint Presentation2. Positive test for AQP4-lgG using best available detection method (cell-based assay strongly recommended) 3. Exclusion of alternative diagnosesa Diagnostic

(Beck, Cleary, & Backlund, 1994)

(Fang, Lin, & Donahue, 1999)

(Optic Neuritis Study, 2008)

Page 12: PowerPoint Presentation2. Positive test for AQP4-lgG using best available detection method (cell-based assay strongly recommended) 3. Exclusion of alternative diagnosesa Diagnostic
Page 13: PowerPoint Presentation2. Positive test for AQP4-lgG using best available detection method (cell-based assay strongly recommended) 3. Exclusion of alternative diagnosesa Diagnostic
Page 14: PowerPoint Presentation2. Positive test for AQP4-lgG using best available detection method (cell-based assay strongly recommended) 3. Exclusion of alternative diagnosesa Diagnostic
Page 15: PowerPoint Presentation2. Positive test for AQP4-lgG using best available detection method (cell-based assay strongly recommended) 3. Exclusion of alternative diagnosesa Diagnostic
Page 16: PowerPoint Presentation2. Positive test for AQP4-lgG using best available detection method (cell-based assay strongly recommended) 3. Exclusion of alternative diagnosesa Diagnostic
Page 17: PowerPoint Presentation2. Positive test for AQP4-lgG using best available detection method (cell-based assay strongly recommended) 3. Exclusion of alternative diagnosesa Diagnostic
Page 18: PowerPoint Presentation2. Positive test for AQP4-lgG using best available detection method (cell-based assay strongly recommended) 3. Exclusion of alternative diagnosesa Diagnostic
Page 19: PowerPoint Presentation2. Positive test for AQP4-lgG using best available detection method (cell-based assay strongly recommended) 3. Exclusion of alternative diagnosesa Diagnostic
Page 20: PowerPoint Presentation2. Positive test for AQP4-lgG using best available detection method (cell-based assay strongly recommended) 3. Exclusion of alternative diagnosesa Diagnostic
Page 21: PowerPoint Presentation2. Positive test for AQP4-lgG using best available detection method (cell-based assay strongly recommended) 3. Exclusion of alternative diagnosesa Diagnostic
Page 22: PowerPoint Presentation2. Positive test for AQP4-lgG using best available detection method (cell-based assay strongly recommended) 3. Exclusion of alternative diagnosesa Diagnostic

(Optic Neuritis Study, 2008)

Page 23: PowerPoint Presentation2. Positive test for AQP4-lgG using best available detection method (cell-based assay strongly recommended) 3. Exclusion of alternative diagnosesa Diagnostic
Page 24: PowerPoint Presentation2. Positive test for AQP4-lgG using best available detection method (cell-based assay strongly recommended) 3. Exclusion of alternative diagnosesa Diagnostic
Page 25: PowerPoint Presentation2. Positive test for AQP4-lgG using best available detection method (cell-based assay strongly recommended) 3. Exclusion of alternative diagnosesa Diagnostic

Day 22 Day 24 Day 26 Day 28 Day 30 Day 32 Day 34

NVAcc: 20/400 20/400 20/200 20/200 20/200+1 20/50+1 20/20-2

Color: <50% 50% 50% 50% 80% 12/15 CP 14/16 CP

EOM: Full Full Full - - - -

Plasmapheresis

session*:

1 2 3 4 - - -

Prednisone: 60mg 60mg

60mg

60mg

60mg

60mg

60mg

*5th session cancelled (low fibrinogen/bleeding)

Page 26: PowerPoint Presentation2. Positive test for AQP4-lgG using best available detection method (cell-based assay strongly recommended) 3. Exclusion of alternative diagnosesa Diagnostic
Page 27: PowerPoint Presentation2. Positive test for AQP4-lgG using best available detection method (cell-based assay strongly recommended) 3. Exclusion of alternative diagnosesa Diagnostic
Page 28: PowerPoint Presentation2. Positive test for AQP4-lgG using best available detection method (cell-based assay strongly recommended) 3. Exclusion of alternative diagnosesa Diagnostic
Page 29: PowerPoint Presentation2. Positive test for AQP4-lgG using best available detection method (cell-based assay strongly recommended) 3. Exclusion of alternative diagnosesa Diagnostic

(Weinshenker & Wingerchuk, 2014)

(Spadaro et al., 2015)

Page 30: PowerPoint Presentation2. Positive test for AQP4-lgG using best available detection method (cell-based assay strongly recommended) 3. Exclusion of alternative diagnosesa Diagnostic
Page 31: PowerPoint Presentation2. Positive test for AQP4-lgG using best available detection method (cell-based assay strongly recommended) 3. Exclusion of alternative diagnosesa Diagnostic

(Wingerchuk et al., 2015)

Page 32: PowerPoint Presentation2. Positive test for AQP4-lgG using best available detection method (cell-based assay strongly recommended) 3. Exclusion of alternative diagnosesa Diagnostic
Page 33: PowerPoint Presentation2. Positive test for AQP4-lgG using best available detection method (cell-based assay strongly recommended) 3. Exclusion of alternative diagnosesa Diagnostic

(Wingerchuk, Lennon, Pittock, Lucchinetti, &

Weinshenker, 2006)

Page 34: PowerPoint Presentation2. Positive test for AQP4-lgG using best available detection method (cell-based assay strongly recommended) 3. Exclusion of alternative diagnosesa Diagnostic
Page 35: PowerPoint Presentation2. Positive test for AQP4-lgG using best available detection method (cell-based assay strongly recommended) 3. Exclusion of alternative diagnosesa Diagnostic

(Wingerchuk et al., 2015)

Page 36: PowerPoint Presentation2. Positive test for AQP4-lgG using best available detection method (cell-based assay strongly recommended) 3. Exclusion of alternative diagnosesa Diagnostic

Anti-AQP4 Assays

60-80% sensitive

>= 97% specific

Generally worse than MS

- 50% will be blind in ≥ 1 eye at 5 years

(Waters et al., 2012)

(Wingerchuk et al., 2015)

Page 37: PowerPoint Presentation2. Positive test for AQP4-lgG using best available detection method (cell-based assay strongly recommended) 3. Exclusion of alternative diagnosesa Diagnostic

(Bizzoco et al., 2009)

(Marrie & Gryba, 2013)

Page 38: PowerPoint Presentation2. Positive test for AQP4-lgG using best available detection method (cell-based assay strongly recommended) 3. Exclusion of alternative diagnosesa Diagnostic

(Kimbrough et al., 2012)

Page 39: PowerPoint Presentation2. Positive test for AQP4-lgG using best available detection method (cell-based assay strongly recommended) 3. Exclusion of alternative diagnosesa Diagnostic

(Kimbrough et al., 2012)

Page 40: PowerPoint Presentation2. Positive test for AQP4-lgG using best available detection method (cell-based assay strongly recommended) 3. Exclusion of alternative diagnosesa Diagnostic
Page 41: PowerPoint Presentation2. Positive test for AQP4-lgG using best available detection method (cell-based assay strongly recommended) 3. Exclusion of alternative diagnosesa Diagnostic