Longitudinally extensive optic neuritis in pediatric patients.

Abstract:

:Extensive optic nerve demyelinating lesions on magnetic resonance imaging (MRI) in adults could indicate a diagnosis other than multiple sclerosis with worse prognosis such as neuromyelitis optica. We report the frequency of longitudinally extensive lesions in children with first events of optic neuritis. Subjects had brain or orbit MRI within 3 months of onset and were evaluated at the University of California, San Francisco, Pediatric Multiple Sclerosis Center. Lesion length, determined by T2 hyperintensity or contrast enhancement, was blindly graded as absent, focal or longitudinally extensive (at least 2 contiguous segments of optic nerve). Of 25 subjects, 9 (36%) had longitudinally extensive optic neuritis. Extensive lesions were not associated with non-multiple sclerosis versus multiple sclerosis diagnosis (P = 1.00). No association between age and lesion extent was observed (P = .26). Prospective studies are needed to determine if longitudinally extensive optic neuritis can predict visual outcome.

journal_name

J Child Neurol

authors

Graves J,Kraus V,Soares BP,Hess CP,Waubant E

doi

10.1177/0883073813520500

subject

Has Abstract

pub_date

2015-01-01 00:00:00

pages

120-3

issue

1

eissn

0883-0738

issn

1708-8283

pii

0883073813520500

journal_volume

30

pub_type

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