Acute disseminating encephalomyelitis (ADEM) with bilateral optic neuritis
Diagnosis almost certain
Presentation
Loss of vision in both eyes following fever.
Patient Data
Age: 5 years
Gender: Female
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Asymmetrical patchy white matter with involvement of overlying cortex at places in bilateral frontoparietal lobes, also extending to body of corpus callosum on right side.
Hyperintensity / edema is seen involving intraorbital, intracanalicular, intracranial segments of both optic nerves, optic chiasma and anterior aspects of bilateral optic tracts suggesting bilateral optic neuritis.
Case Discussion
In the present clinical context, above findings suggest likelihood of Acute disseminating encephalomyelitis (ADEM) with bilateral optic neuritis.
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