گزارش يك مورد ورم عصب بينايي دو طرفه پس از واكسيناسيون سرخك و سرخجه

Bilatral optic nevrotis following measles/rubella (MR) vaccination (a case report)

A thirteen years old female caucasition admitted in 5 Azar General hosital with a 3-day history of deteriorating vision. Two weeks prior to admission she had received a measles-rubella vaccination at school (as a mass campain of MR vaccination in IRAN). General & neurological examination except lung wheezing & occular findings were normal. In visual exam she had questionable light perception in right eye & hand motion sensation in left eye. Funduscopy revealed moderate bilateral opitc disc hypermia. Investigations revealed normal full cell blood count, biochemistry profile, clotting studies & sputum. Brain CT scan & MRI were normal except pansinusitis. CSF examination revealed normal constituents. The patient treated with methyl prednisolon (1 gr./daily) for 7 days and patient had dramatic response to therapy. After 6 weeks of starting medical treatment ophthalmologic exam revealed 2 meters finger count vision in Rt eye & 6/10 visual aquity in Lt side. This patient is a rare case of bilateral optic neuritis after MR vaccination.