Anisocoria as initial manifestation of multiple sclerosis. Use of 3 tesla magnetic resonance imaging
| Autor: | M.J. Sedano-Tous, Alicia López-de-Eguileta, M. Drake-Pérez, Alfonso Casado, Andrea Cerveró, Á. Cano-Abascal |
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| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Infarction 03 medical and health sciences Young Adult 0302 clinical medicine Multiple Sclerosis Relapsing-Remitting medicine Mydriasis Humans Optic neuritis 3 Tesla Magnetic Resonance Imaging Anisocoria medicine.diagnostic_test Lumbar puncture business.industry Multiple sclerosis Magnetic resonance imaging General Medicine medicine.disease Magnetic Resonance Imaging 030221 ophthalmology & optometry Female Radiology medicine.symptom business 030217 neurology & neurosurgery |
| Zdroj: | Archivos de la Sociedad Espanola de Oftalmologia. 95(4) |
| ISSN: | 2173-5794 |
| Popis: | A 21-year-old woman seen in this clinic with non-reactive mydriasis in the right eye that contracted with 1% pilocarpine. Cranial angio-CT and 1.5 T magnetic resonance imaging (MRI) did not detect any disease. Given a subsequent limitation of adduction, supraduction, and infarction of the right eye, a 3 T MRI was requested. This showed a lesion of the midbrain at the exit of the 3rd cranial nerve. After improvement, no new episodes were observed until 18 months later, when the patient presented with probable optic neuritis and systemic symptoms. At this time the 1.5 T MRI detected infratentorial and supratentorial demyelinating plaques. A subsequent lumbar puncture and clinic outcome confirmed the diagnosis of relapsing-remitting multiple sclerosis. |
| Databáze: | OpenAIRE |
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