| Autor: |
R Remya, J K Ann, Ani Sreedhar |
| Jazyk: |
angličtina |
| Rok vydání: |
2017 |
| Předmět: |
|
| Zdroj: |
Kerala Journal of Ophthalmology, Vol 29, Iss 2, Pp 139-141 (2017) |
| Druh dokumentu: |
article |
| ISSN: |
0976-6677 |
| DOI: |
10.4103/kjo.kjo_70_17 |
| Popis: |
A 34-year-old female presented with a history of acute onset severe bilateral defective vision for 2 weeks. Examination revealed visual acuity CFat1 m in the right eye and 6/60 in the left eye. Right eye had Grade 1 relative afferent pupillary defect. Magnetic resonance imaging (MRI) brain was done which showed well-defined T1-hypointense, T2 and FLAIR hyperintense lesion of approximately 1.8 cm × 1.6 cm × 1.7 cm size in the right frontal lobe cortex and underlying white matter with a thin rim of contrast enhancement with well-defined outer border and a cortex broken arc appearance. MR spectroscopy showed increase in choline peak within the enhancing walls of the lesion and no decrease in N-acetyl aspartate peak suggestive of demyelination. Diagnosis of acute demyelinating encephalomyelitis was made and with a course of large dose steroid vision improved dramatically. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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