Yamaguchi Keiko, Hayashi Takaaki, Kiriyama Akiko, Iida Kie, Yoshimine Shoyo, Masuda Yoichiro, Shikishima Keigo, Ariizumi Mitsuko, Takahashi Genichiro, Nakano Tadashi
Department of Ophthalmology, Katsushika Medical Center, The Jikei University School of Medicine, Tokyo, Japan.
Department of Ophthalmology, The Jikei University School of Medicine, Tokyo, Japan.
Neuroophthalmology. 2018 Oct 29;43(2):114-119. doi: 10.1080/01658107.2018.1483951. eCollection 2019 Apr.
Ophthalmic and MRI evaluations of a 13-year-old boy who reported loss of visual acuity in his right eye demonstrated the presence of unilateral optic neuritis. After serological tests showed positivity for anti-aquaporin 4 antibody, he was diagnosed with neuromyelitis optica spectrum disorder. Encephalopathy and myelitis were not observed. Since his unilateral optic neuritis was considered to reflect mild disease activity, only follow-up observations were performed. Visual acuity and central scotoma improved 1 week after the first examination. In the absence of any specific treatments, good visual acuity has remained for 20 months, with no relapse of optic neuritis.
一名13岁男孩报告右眼视力丧失，眼科和MRI检查显示存在单侧视神经炎。血清学检查显示抗水通道蛋白4抗体呈阳性后，他被诊断为视神经脊髓炎谱系障碍。未观察到脑病和脊髓炎。由于认为他的单侧视神经炎反映了轻度疾病活动，因此仅进行了随访观察。首次检查1周后视力和中心暗点有所改善。在没有任何特异性治疗的情况下，良好的视力已维持20个月，视神经炎未复发。
