Bilateral Optic Neuritis Originating in a Single Chiasmal LesionA Case Report
作者:
Joern Soltau,
William Hart,
期刊:
Journal of Neuro-Ophthalmology
(OVID Available online 1996)
卷期:
Volume 16,
issue 1
页码: 9-13
ISSN:1070-8022
年代: 1996
出版商: OVID
关键词: Bilateral;Chiasmal;Retrobulbar;Optic neuritis;MRI;Intravenous methylprednisolone.
数据来源: OVID
摘要:
A case of bilateral retrobulbar optic neuritis with profound visual loss is described. Magnetic resonance imaging (MRI) with fat-saturation suppression and gadolinium enhancement done 15 days after the onset of symptoms demonstrated bilateral posterior optic nerve disease in a pattern similar to that seen in previously reported cases. However, subsequent retrospective review of an MRI study done at a different hospital during the first week of disease demonstrated a single focus of gadolinium enhancement within the body of the chiasm. This observation suggests that bilateral demyelination of the posterior optic nerves may begin as a single focus of chiasmal disease that then spreads to involve the proximal portions of the optic nerves.
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