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Abstract

I report a 45-year old woman who had a history of neuromyelitis óptica (NMO). She was admitted by bilateral blindness and mydriasis, as well as tetraparesia. The visual evoked potential revealed absence of waves in both eyes. For this reason, she received an omental transplantation on the optic chiasm and left temporal lobe. Three days after surgery, she presented motor improvement in her limbs and later, she presented photophobia, photomotor reflex and to visualize silhouette of people and things. She died 8 days after surgery by bronchopneumonia. These results suggest that in the NMO there is an ischemic component in the optic chiasm and adjacent zones.