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Acta Ophthalmol Scand · Dec 2006
Case ReportsIsolated bilateral optic neuritis in acute disseminated encephalomyelitis.
- Regitze Bangsgaard, Vibeke Andrée Larsen, and Dan Milea.
- Department of Ophthalmology, Glostrup University Hospital, Glostrup, Denmark. regitze@dadlnet.dk
- Acta Ophthalmol Scand. 2006 Dec 1;84(6):815-7.
PurposeWe present a 4-year-old girl with isolated visual loss related to a bilateral oedematous optic neuropathy of unknown origin, occurring after an episode of viral illness.MethodsA cerebral MRI was performed, showing bilateral enhancement of the optic nerves and bilateral, diffuse, cerebral white matter lesions.ResultsThe MRI scan suggested acute disseminated encephalomyelitis. Treatment with intravenous steroids and immunoglobulins resulted in favourable visual recovery.ConclusionsBilateral isolated optic neuritis in childhood may be the only presenting symptom in acute disseminated encephalomyelitis, which requires appropriate evaluation and therapeutic management.
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