Document Detail


Optic neuritis.
MedLine Citation:
PMID:  20637989     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Optic neuritis usually presents with painful monocular vision loss in younger patients. Spontaneous improvement in vision occurs over weeks, and treatment with high-dose intravenous steroids increases the rate but not extent of visual recovery. Risk of progression to multiple sclerosis (MS) is largely dictated by baseline brain magnetic resonance imaging (MRI). Those with a normal MRI finding at the time of optic neuritis diagnosis have a lower rate of progression to multiple sclerosis than those with T2 hyperintense white matter lesions on MRI. High-dose intravenous steroids should be considered acutely in optic neuritis, and disease-modifying therapy should be considered in patients at high risk of MS as defined by MRI.
Authors:
David Clark; Workayehu Kebede; Eric Eggenberger
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Neurologic clinics     Volume:  28     ISSN:  1557-9875     ISO Abbreviation:  Neurol Clin     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-07-19     Completed Date:  2010-10-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8219232     Medline TA:  Neurol Clin     Country:  United States    
Other Details:
Languages:  eng     Pagination:  573-80     Citation Subset:  IM    
Copyright Information:
Copyright 2010 Elsevier Inc. All rights reserved.
Affiliation:
Department of Neurology and Ophthalmology, Michigan State University, A217 Clinical Center, 138 Service Road, East Lansing, MI 48824, USA. david.clark@hc.msu.edu
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MeSH Terms
Descriptor/Qualifier:
Administration, Oral
Anti-Inflammatory Agents / administration & dosage
Frontal Lobe / pathology
Humans
Magnetic Resonance Imaging / methods
Multiple Sclerosis / complications
Optic Nerve / pathology
Optic Neuritis / diagnosis*,  epidemiology,  etiology,  therapy*
Prednisone / administration & dosage
Chemical
Reg. No./Substance:
0/Anti-Inflammatory Agents; 53-03-2/Prednisone

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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