23rd August 2024

A 35-year-old woman developed bilateral optic neuritis with partial recovery. An MRI scan of her brain was normal

A 35-year-old woman developed bilateral optic neuritis with partial recovery. An MRI scan of her brain was normal. One year later, she presents to A&E with paraparesis and incontinence.

Investigation findings include: MRI: high signal lesion from C5 to T8

Antibodies to aquaporin 4: positive

What is the most likely diagnosis?

Select the SINGLE most appropriate option from the list below. Select ONE option only.