Bilateral optic neuropathy with IgGκ multiple myeloma improved after myeloablative chemotherapy Journal Article


Authors: Lieberman, F. S.; Odel, J.; Hirsh, J.; Heinemann, M.; Michaeli, J.; Posner, J.
Article Title: Bilateral optic neuropathy with IgGκ multiple myeloma improved after myeloablative chemotherapy
Abstract: A 49-year-old woman with immunoglobulin Gκ multiple myeloma developed progressive visual loss with bilateral upper and lower central arcuate scotomas. Funduscopic and electrophysiologic studies indicated bilateral optic neuropathy. The immunoglobulin G fraction of the patient's serum reacted with retinal ganglionic cells in bovine retina. The visual abnormalities remitted after myeloablative chemotherapy and disappearance of the paraprotein.
Keywords: adult; cancer chemotherapy; case report; doxorubicin; antineoplastic agent; animal cell; multiple myeloma; etoposide; cyclophosphamide; dexamethasone; immunoglobulin g; cattle; retinol; immunoglobulin kappa chain; visual impairment; vitamin b complex; intravenous drug administration; ophthalmoscopy; retina ganglion cell; electroretinogram; paraprotein; optic nerve disease; thiamine; human; female; priority journal; article; central scotoma
Journal Title: Neurology
Volume: 52
Issue: 2
ISSN: 0028-3878
Publisher: Lippincott Williams & Wilkins  
Date Published: 1999-01-15
Start Page: 414
End Page: 416
Language: English
PUBMED: 9932972
PROVIDER: scopus
DOI: 10.​1212/​WNL.​52.​2.​414
DOI/URL:
Notes: Article -- Export Date: 16 August 2016 -- Source: Scopus
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  1. Jerome B Posner
    211 Posner