Optic neuritis (in multiple sclerosis)

Case contributed by Dr Bruno Di Muzio

Presentation

Known history of demyelinating disease.

Patient Data

Age: 28-year-old
Gender: Female

MRI orbits

Modality: MRI

There is an ill-defined high T2/FLAIR signal within the proximal portion of the left optic nerve, which also demonstrates mild enhancement after contrast administration. On T2 is also possible to spot some of the supratentorial white matter demyelination lesions. 

Case Discussion

This patient has a known diagnosis of multiple sclerosis (MS) and an MRI orbits was requested in the context of visual symptoms. The features are consistent with optic neuritis, a condition that has MS as the principal cause. Although not being an imaging diagnostic criterion accordingly to the McDonald criteria, the optic neuritis has been proposed to be included as one of the sites to characterise MS dissemination in space by the 2016's MAGNIMS consensus

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Case Information

rID: 43363
Case created: 7th Mar 2016
Last edited: 17th Jan 2017
Inclusion in quiz mode: Included

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