Author/Authors :
OTAIF, MANSOUR Y. Aseer Central Hospital - Department of Pediatrics, Saudi Arabia , AL-JARIE, AHMED Aseer Central Hospital - Department of Pediatrics, Saudi Arabia , ALSUHEEL, ALI M. King Khalid University - College of Medicine - Department of Child Health, Saudi Arabia , SHATI, AYED A. King Khalid University - College of Medicine - Department of Child Health, Saudi Arabia , RAFIQUE, MUHAMMAD King Khalid University - College of Medicine - Department of Child Health, Saudi Arabia , DAWOOD, SAMY A. King Khalid University - College of Medicine - Department of Child Health, Saudi Arabia
Abstract :
We are reporting a 5-year old girl with isolated acute visual loss related to a bilateral edematous optic neuropathy after an episode of viral illness. MRI brain showed bilateral, multiple sub-cortical hyper-intense lesions indicating white matter disease, acute disseminated encephalomyelitis (ADEM) with bilateral optic neuritis. Treatment with pulse steroids resulted in favorable visual recovery. After 4 weeks follow -up, MRI images showed complete resolution of sub-cortical pathology. Bilateral isolated optic neuritis in childhood may be the only presenting symptom in ADEM which requires proper evaluation and early therapeutic management. Up to our knowledge, this case is the first reported case in Saudi Arabia having this presentation.
