Optic neuritis

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

Left orbital pain with papilledema.

Patient Data

Age: 35 years
Gender: Female
mri

 Swelling of the retrobulbar intra-orbital segment of the left optic nerve of a high T2 and T2 fat sat signal with enhancement on postcontrast sequences well-demonstrated on axial and coronal T1 fat sequences. moderate flattening of the posterior sclera.

Normal appearance of the right optic nerve and optic chiasma.

No demyelinating lesions were seen at the infra or supratentorial level.

Case Discussion

The clinical presentation and the MRI features are most consistent with left optic neuritis.

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