Relapsing White Matter Disease and Subclinical Optic Neuropathy: From the National Multiple Sclerosis Society Case Conference Proceedings
Neurol Neuroimmunol Neuroinflamm
; 11(2): e200194, 2024 03.
Article
em En
| MEDLINE
| ID: mdl-38181317
ABSTRACT
A 16-year-old adolescent boy presented with recurrent episodes of weakness and numbness. Brain MRI demonstrated subcortical, juxtacortical, and periventricular white matter T2 hyperintensities with gadolinium enhancement. CSF was positive for oligoclonal bands that were not present in serum. Despite treatment with steroids, IV immunoglobulins, plasmapheresis, and rituximab, he continued to have episodes of weakness and numbness and new areas of T2 hyperintensity on imaging. Neuro-ophthalmologic examination revealed a subclinical optic neuropathy with predominant involvement of the papillomacular bundle. Genetic evaluation and brain biopsy led to an unexpected diagnosis.
Texto completo:
1
Bases de dados:
MEDLINE
Assunto principal:
Doenças do Nervo Óptico
/
Leucoencefalopatias
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
Limite:
Adolescent
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Humans
/
Male
Idioma:
En
Revista:
Neurol Neuroimmunol Neuroinflamm
Ano de publicação:
2024
Tipo de documento:
Article