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December 1960

A Case of Ependymoma Simulating Devic's Syndrome: A Clinicopathological Case Report

Author Affiliations

Pathology Department The Reading Hospital Reading, Pa.

Arch Ophthalmol. 1960;64(6):940-945. doi:10.1001/archopht.1960.01840010942018

Neuromyelitis optica, an acute demyelinating process usually affecting the optic tract and spinal cord, is thought by some workers to be a specific disease entity and by others to be a syndrome. Many believe that Devic's syndrome and multiple sclerosis are expressions of the same process differing only in acuteness and intensity.1,5

From the department of medicine of The Reading Hospital, a case was encountered which had the clinical picture of Devic's syndrome. This case is of interest because at autopsy a brain tumor infiltrating into nerve sheaths causing symptoms simulating Devic's syndrome was disclosed.

Report of Case  A 40-year-old white man, an electrician, was admitted to The Reading Hospital on June 3, 1957, with the complaints of headache, vomiting, and dizziness of 10 days' duration. The illness was first noticed as brief episodes of lightheadedness accompanied by dull headaches when arising from a sitting or stooping position. Throbbing