Neuromyelitis optica: Application of computer diagnostics to historical case reports

ABSTRACT

The retrospective diagnosis of illnesses by medical historians can often be difficult and prone to bias, although knowledge of the medical disorders of historical figures is key to the understanding of their behavior and reactions. The recent application of computer diagnostics to historical figures allows an objective differential diagnosis to be accomplished. Taking an example from clinical neurology, we analyzed the earliest reported cases of Devic’s disease (neuromyelitis optica) that commonly affects the optic nerve and spinal cord and was previously often confused with multiple sclerosis. We conclude that in most identified cases the software concurred with the contemporary physicians’ interpretation, but some claimed cases either had insufficient data to provide a diagnosis or other possible diagnoses were suggested that had not been considered. Computational methods may, therefore, help historians to diagnose the ailments of historical figures with greater objectivity.

KEYWORDS:

• Computer diagnostics
• Devic’s disease
• historical medical diagnoses
• multiple sclerosis
• neuromyelitis optica

Acknowledgments

The helpful comments of Prof. Victor Dubowitz are gratefully acknowledged.