Document Detail


Demyelinating optic neuritis presenting as a clinically isolated syndrome.
MedLine Citation:
PMID:  22153821     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
BACKGROUND: Clinically isolated syndrome (CIS) describes a single, first-occurrence attack caused by inflammation/demyelination in 1 or more locations in the central nervous system. The optic nerve is a frequent site affected by this neurologic event. As the name implies, CIS is an isolated condition but is often considered a precursor to multiple sclerosis (MS). When distinctive brain lesions detected by magnetic resonance imaging (MRI) accompany CIS, the person is considered at a high risk for MS. Treatment is aimed at delaying the onset of a second neurologic episode, reducing the accumulation of MRI-detected brain lesions and delaying the development of definite MS. CASE REPORT: This article describes a 40-year-old woman who experienced a sudden loss of vision in the right eye. Testing ultimately found a normal MRI, demyelination of the optic nerve, and progressive thinning of the retinal nerve fiber layer, leading to a diagnosis of CIS.
Authors:
Nicky R Holdeman; Tammy Nguyen; Rosa A Tang
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Optometry (St. Louis, Mo.)     Volume:  83     ISSN:  1558-1527     ISO Abbreviation:  Optometry     Publication Date:  2012 Jan 
Date Detail:
Created Date:  2011-12-14     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100912421     Medline TA:  Optometry     Country:  United States    
Other Details:
Languages:  eng     Pagination:  9-18     Citation Subset:  IM    
Copyright Information:
Copyright © 2012 American Optometric Association. Published by Elsevier Inc. All rights reserved.
Affiliation:
Multiple Sclerosis Eye Center for Analysis, Research, & Education (MS-Eye CARE), University Eye Institute, University of Houston, Texas.
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