Neuritis óptica recurrente posterior a encefalomielitis diseminada aguda en pediatría. Reporte de un caso / Recurrent optic neuritis after acute disseminated encephalomyelitis in pediatrics. A case report
Metro cienc
; 27(2): 62-66, dic. 2019. ilus
Article
em Es
| LILACS
| ID: biblio-1104244
Biblioteca responsável:
EC110.1
ABSTRACT
Abstract Optic Neuritis (ON) is a condition caused by the inflammation of the optic nerve, causing diminished visual acuity and ocular pain. It is tightly related to Multiple Sclerosis (MS), often being the first demyelinating event. There is a 31% risk of recurrence during the first 10 years after the diagnosis, and 48% of the patients end up being diagnosed with Multiple Sclerosis1. Imaging studies like brain MRI (Magnetic Resonance Imaging) have a critical role in the diagnosis and prognosis of ON, as well as in the recognition of MS.2 The patient is a 11-year-old girl with recurrent ON and past medical history of Acute Disseminated Encephalomyelitis (ADEM) when she was 5 years old. ON diagnosis was based on clinical findings as well as on ophtalmologic, electrophysiologic and imaging studies. The recurrent episodes of ON improved after the use of high dose steroids. Recurrences were observed after titration of the dose, but remission was achieved after adjustment of treatment. During one of the recurrent episodes, blood work was performed to evaluate possible underlying infectious, demyelinating or autoinmmune process. Anti-MOG antibodies were found positive. The patient at the moment is not presenting with any other criteria suggesting MS or Optic Neuromyelitis, but long term follow up is adviced. Key words Optic neuritis (ON), multiple sclerosis (MS), acute disseminated encephalomyelitis (ADEM), magnetic resonance imaging (MRI), cerebrospinal fluid (CSF), right eye (RE); visual acuity (VA), optic neuromyelitis (ONM)
Palavras-chave
Acute disseminated encephalomyelitis (ADEM); Agudeza Visual; Anticuerpos contra la glucoproteína del oligodendrocito asociada a la mielina (anti-MOG); Cerebrospinal fluid (CSF); Encefalomielitis diseminada aguda; Esclerosis múltiple; Líquido cefalorraquídeo; Magnetic resonance imaging (MRI); Multiple sclerosis (MS); Neuromielitis Óptica; Ojo derecho; Optic neuromyelitis (ONM); Optic neuritis (ON); Resonancia Magnética Nuclear; Right eye (RE); Tomografía de Coherencia Óptica; Visual acuity (VA)
Texto completo:
1
Coleções:
01-internacional
Base de dados:
LILACS
Assunto principal:
Neurite Óptica
/
Encefalomielite Aguda Disseminada
Tipo de estudo:
Prognostic_studies
Limite:
Humans
Idioma:
Es
Revista:
Metro cienc
Assunto da revista:
MEDICINA
Ano de publicação:
2019
Tipo de documento:
Article
País de afiliação:
Equador
País de publicação:
Equador