Satralizumab in the management of aquaporin-4 antibody-positive neuromyelitis optica spectrum disorder during pregnancy: a case report - Summary - MDSpire

Satralizumab in the management of aquaporin-4 antibody-positive neuromyelitis optica spectrum disorder during pregnancy: a case report

  • By

  • Man Ding

  • Bo Yin

  • Jiajia Yao

  • Yin Liu

  • Hongjuan Dong

  • Zuneng Lu

  • May 21, 2026

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Objective:

To provide clinical evidence for the management of aquaporin-4 antibody-positive NMOSD during pregnancy using satralizumab, highlighting its potential benefits and risks.

Key Findings:
  • Marked improvement in visual field defect post-treatment, indicating effective management.
  • Successful spontaneous delivery at 34 + 4 weeks gestation, demonstrating treatment safety.
  • Stable maternal condition with transient early neonatal complications, warranting further investigation.
Interpretation:

Satralizumab appears to be a safe and effective treatment option for managing NMOSD during pregnancy, allowing for corticosteroid reduction, though potential risks must be considered.

Limitations:
  • Single case study limits generalizability.
  • Lack of long-term follow-up data on neonatal outcomes.
  • Need for more diverse case studies to enhance generalizability.
Conclusion:

This case provides valuable insights into the management of NMOSD during pregnancy and supports the use of satralizumab as a potential treatment, emphasizing the need for further research to validate these findings.

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