Abstract
Myelin oligodendrocyte glycoprotein associated disease (MOGAD) has a variety of manifestations spanning from optic neuritis to acute disseminated encephalomyelitis-like presentations. Rhombencephalitic presentation is an unusual entity in MOGAD. A 36-year-old male presented with sub-acute onset diplopia, and facial and bulbar palsy with alteration in sensorium following febrile illness. The workup revealed demyelinating lesions, subtle optic neuritis, and positive antimyelin oligodendrocyte glycoprotein antibodies. The patient showed significant improvement with pulse steroid therapy. This case illustrates the prudentiality of early diagnosis and treatment of MOGAD which can give positive outcomes.
Published Version
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