急性播散性脑脊髓炎中的孤立性双侧视神经炎。
Isolated bilateral optic neuritis in acute disseminated encephalomyelitis.
作者信息
Bangsgaard Regitze, Larsen Vibeke Andrée, Milea Dan
机构信息
Department of Ophthalmology, Glostrup University Hospital, Glostrup, Denmark.
出版信息
Acta Ophthalmol Scand. 2006 Dec;84(6):815-7. doi: 10.1111/j.1600-0420.2006.00773.x.
PURPOSE
We 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.
METHODS
A cerebral MRI was performed, showing bilateral enhancement of the optic nerves and bilateral, diffuse, cerebral white matter lesions.
RESULTS
The MRI scan suggested acute disseminated encephalomyelitis. Treatment with intravenous steroids and immunoglobulins resulted in favourable visual recovery.
CONCLUSIONS
Bilateral isolated optic neuritis in childhood may be the only presenting symptom in acute disseminated encephalomyelitis, which requires appropriate evaluation and therapeutic management.
目的
我们报告一名4岁女童，在一次病毒感染发作后出现与双侧不明原因的水肿性视神经病变相关的孤立性视力丧失。
方法
进行了脑部MRI检查，显示双侧视神经强化以及双侧弥漫性脑白质病变。
结果
MRI扫描提示为急性播散性脑脊髓炎。静脉注射类固醇和免疫球蛋白治疗后视力恢复良好。
结论
儿童双侧孤立性视神经炎可能是急性播散性脑脊髓炎的唯一表现症状，需要进行适当的评估和治疗管理。
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