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Optic Neuritis (imaging and clinical findings combined to verify diagnosis)

Banks KB - MedPix

View Article: MedPix Image - MedPix Case

Affiliation: Brooke Army Medical Center

ABSTRACT

Diagnosis: Optic Neuritis (imaging and clinical findings combined to verify diagnosis)

History: A 6 YO female presented to the emergency department with a 3 day history of right eye pain and severe decreasing visual acuity.

Findings: CT of the orbits shows asymmetry of the optic nerves with the right optic nerve enlarged when compared to the left. Subsequent MRI evaluation of the orbits demonstrates enlargement of the right optic nerve with associated abnormal increased T2 signal intensity and enhancement on post-gadolinium series extending from globe to just anterior to the optic chiasm. Enhancement of the intraorbital fat adjacent to the nerve is also present. The remainder of the optic pathways are normal (not shown).

Ddx: Optic nerve glioma Meningioma Graves disease Sarcoidosis

Exam: Ocular exam demonstrated a swollen right optic nerve.

No MeSH data available.


Axial T1WI post-gad image with fat suppression shows abnormal enhancement of the right optic nerve and associated enlargement.
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MPX1463_synpic17578: Axial T1WI post-gad image with fat suppression shows abnormal enhancement of the right optic nerve and associated enlargement.


Optic Neuritis (imaging and clinical findings combined to verify diagnosis)

Banks KB - MedPix

Axial T1WI post-gad image with fat suppression shows abnormal enhancement of the right optic nerve and associated enlargement.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1463&req=5

MPX1463_synpic17578: Axial T1WI post-gad image with fat suppression shows abnormal enhancement of the right optic nerve and associated enlargement.

View Article: MedPix Image - MedPix Case

Affiliation: Brooke Army Medical Center

ABSTRACT

Diagnosis: Optic Neuritis (imaging and clinical findings combined to verify diagnosis)

History: A 6 YO female presented to the emergency department with a 3 day history of right eye pain and severe decreasing visual acuity.

Findings: CT of the orbits shows asymmetry of the optic nerves with the right optic nerve enlarged when compared to the left. Subsequent MRI evaluation of the orbits demonstrates enlargement of the right optic nerve with associated abnormal increased T2 signal intensity and enhancement on post-gadolinium series extending from globe to just anterior to the optic chiasm. Enhancement of the intraorbital fat adjacent to the nerve is also present. The remainder of the optic pathways are normal (not shown).

Ddx: Optic nerve glioma Meningioma Graves disease Sarcoidosis

Exam: Ocular exam demonstrated a swollen right optic nerve.

No MeSH data available.