Bilateral Optic Neuritis Associated with Central Nervous System Infection in an Adult
서진영, 송홍기, 이주헌, 배종석, 김예림,
소속 상세정보
서진영 ( Seo Jin-Young )
Hallym University College of Medicine Kangdong Sacred Heart Hospital Department of Neurology
송홍기 ( Song Hong-Ki )
Hallym University College of Medicine Kangdong Sacred Heart Hospital Department of Neurology
이주헌 ( Lee Ju-Hun )
Hallym University College of Medicine Kangdong Sacred Heart Hospital Department of Neurology
배종석 ( Bae Jong-Seok )
Hallym University College of Medicine Kangdong Sacred Heart Hospital Department of Neurology
김예림 ( Kim Ye-Rim )
Hallym University College of Medicine Kangdong Sacred Heart Hospital Department of Neurology
Abstract
We present a case report of bilateral optic neuritis related to meningoencephalitis in an adult. A 62-year-old woman was admitted with sudden bilateral visual loss, headache, and fever. Neurological examination showed no specific findings except light perception on bilateral visual acuities. Cerebrospinal fluid examination and brain magnetic resonance imaging indicated meningoencephalitis and infectious optic neuropathy. She was treated with intravenous methylprednisolone and acyclovir for the infectious optic neuritis. After treatment, her vision improved, such that she could read text up close. Although the infectious source was not confirmed, the imaging test results and clinical symptoms strongly indicated that infection did occur. In conclusion, it is very important for clinicians to perform the necessary tests and initiate appropriate treatment as soon as possible for patients with visual impairment of unknown cause.
키워드
Optic neuritis; Meningoencephalitis; Vision disorders; Visual acuity
원문 및 링크아웃 정보
등재저널 정보