Management in Devic recurrence disease. First successful treatment, reported with plasmapheresis in Ecuador; review and case report [Manejo de recaída en enfermedad de Devic. Primer tratamiento exitoso, reportado con plasmaféresis en Ecuador; revisión bibliográfica, actualidad y reporte de caso]

Abstract

Devic's disease is a rare demyelinating pathology that affects the optic nerve and spinal cord; following we describe the successful treatment with plasmapheresis of this condition as the first in Ecuador; likewise characterize and analyze the benefits of treatmenton the natural history of the disease. The case is a male patient, adult, with a history of suddenamaurosis, which debuts with acute level spinal alteration; in the absence of trauma, othercauses are investigated and concluded with the clinical and imaging diagnosis of neuromielytisoptica. The results are the success in medullar symptoms in sensitivity and motor functions.