医学
眼底(子宫)
无症状的
视神经
视神经脊髓炎
磁共振成像
眼科
视野
视交叉
病理
放射科
多发性硬化
精神科
作者
Alexander M. Warwick,Sidney M. Gospe,John J. Chen
标识
DOI:10.1016/j.survophthal.2021.08.001
摘要
An 81-year-old woman developed painful vision loss to hand motions in the right eye over a several-day period. Dilated fundus examination revealed no acute pathology, but automated perimetry showed a superotemporal visual field defect in the asymptomatic left eye, suggestive of a junctional defect. Magnetic resonance imaging demonstrated enhancement of the right optic nerve extending to its junction with the optic chiasm. The patient's vision failed to improve with intravenous corticosteroids, but demonstrated significant improvement with therapeutic plasma exchange. She was subsequently found to be seropositive for aquaporin-4 autoantibodies, confirming the diagnosis of neuromyelitis optic spectrum disorder.
科研通智能强力驱动
Strongly Powered by AbleSci AI