Course of neuromyelitis optica during inadvertent pregnancy in a patient treated with rituximab

In neuromyelitis optica (NMO), the monoclonal B-cell antibody rituximab is a therapeutic option. Little is known about the course of NMO and the safety of rituximab during pregnancy. In this study, we report the clinical course of a patient with NMO after application of rituximab 1 week before inadvertent conception. Mother and child did not experience any adverse event, and the postpartum development of the baby was completely normal up to 15 months. Clinical course of NMO was stable during the entire pregnancy. This case illustrates a favorable outcome in a pregnant NMO patient and her child after therapy with rituximab

Concurrent TNFRSF1A R92Q and pyrin E230K mutations in a child with multiple sclerosis

We report a 16-year-old female patient with a severe course of multiple sclerosis and concomitant symptoms suggestive of a hereditary autoinflammatory disease. Genetic analyses revealed that she inherited a TNFRSF1A R92Q mutation from her mother and a pyrin E230K mutation from her father. To our knowledge, this is the first report of a patient with severe childhood multiple sclerosis and mutations in two genes which predispose to hereditary autoinflammatory disorders. We speculate that these mutations contribute to early multiple sclerosis manifestation and enhance the inflammatory damage inflicted by the autoimmune response

Magnetization dynamics in dysprosium orthoferrites via inverse Faraday effect

The ultrafast non-thermal control of magnetization has recently become feasible in canted antiferromagnets through photomagnetic instantaneous pulses [A.V. Kimel {\it et al.}, Nature {\bf 435}, 655 (2005)]. In this experiment circularly polarized femtosecond laser pulses set up a strong magnetic field along the wave vector of the radiation through the inverse Faraday effect, thereby exciting non-thermally the spin dynamics of dysprosium orthoferrites. A theoretical study is performed by using a model for orthoferrites based on a general form of free energy whose parameters are extracted from experimental measurements. The magnetization dynamics is described by solving coupled sublattice Landau-Lifshitz-Gilbert equations whose damping term is associated with the scattering rate due to magnon-magnon interaction. Due to the inverse Faraday effect and the non-thermal excitation, the effect of the laser is simulated by magnetic field Gaussian pulses with temporal width of the order of hundred femtoseconds. When the field is along the z-axis, a single resonance mode of the magnetization is excited. The amplitude of the magnetization and out-of-phase behavior of the oscillations for fields in z and -z directions are in good agreement with the cited experiment. The analysis of the effect of the temperature shows that magnon-magnon scattering mechanism affects the decay of the oscillations on the picosecond scale. Finally, when the field pulse is along the x-axis, another mode is excited, as observed in experiments. In this case the comparison between theoretical and experimental results shows some discrepancies whose origin is related to the role played by anisotropies in orthoferrites.Comment: 10 pages, 6 figure

Review: ‘Gimme five’: future challenges in multiple sclerosis. ECTRIMS Lecture 2009

This article is based on the ECTRIMS lecture given at the 25th ECTRIMS meeting which was held in Düsseldorf, Germany, from 9 to 12 September 2009. Five challenges have been identified: (1) safeguarding the principles of medical ethics; (2) optimizing the risk/benefit ratio; (3) bridging the gap between multiple sclerosis and experimental autoimmune encephalitis; (4) promoting neuroprotection and repair; and (5) tailoring multiple sclerosis therapy to the individual patient. Each of these challenges will be discussed and placed in the context of current research into the pathogenesis and treatment of multiple sclerosis