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급성산재성뇌척수염(Acute disseminated encephalomyelitis)에 의한 시신경염 1예

Other Titles
 Optic Neuritis in Acute Disseminated Encephalomyelitis 
Authors
 이준모  ;  신인하  ;  서경률 
Citation
 JOURNAL OF THE KOREAN OPHTHALMOLOGICAL SOCIETY, Vol.44(5) : 1237-1241, 2003 
Journal Title
 JOURNAL OF THE KOREAN OPHTHALMOLOGICAL SOCIETY 
ISSN
 0378-6471 
Issue Date
2003
MeSH
Acute disseminated encephalomyelitis(ADEM) ; Multiphasic disseminated encephalomyelitis(MDEM) ; Multiple sclerosis ; Optic neuritis
Keywords
Acute disseminated encephalomyelitis(ADEM) ; Multiphasic disseminated encephalomyelitis(MDEM) ; Multiple sclerosis ; Optic neuritis
Abstract
Purpose: This case is the first report of optic neuritis f311owing acute disseminated encephalomyelitis in Korean literature and we report this case with a successful result of conservative treatment. Methods: We examined a 7-year and-7-month-old female patient who visited our ophthalmology clinic complaining of a headache and visual disturbance in both eyes. At the time of visit, light perception was negative in both eyes, response to light reflex was nil in the right eye and weak in the left eye. Relative afferent papillary defect (RAPD) was noted in both eyes, and the disc swelling was found in both eyes on fundus examination. MRI brain scans revealed asymmetrical multifocal lesions involving the cortex and subcortex in the bilateral brain hemispheres, and contrast enhanced in 72-weighted images. Cerebrospinalfluid (CSF) examination showed results of 45 WBC, 10 polynuclear lymphocyte, and 88 monocyte cells/㎣. Results: As patient was diagnosed with acute disseminated encephalomyelitis, she was prescribed intravenous steroid pulse therapy with methylprednisolone sodium succinate (Solu-medrol^?, Pharmacia, U.S.A), and immunoglobulin (Liv gamma^?, Green Cross, Korea). Seven days of steroid therapy was 1311owe0 by tapering with oral steroid. Uncorrected vision was 0.9 in the right eye and 0.9 in the left. RAPD was resolved in both eyes. Visual evoked potentials showed both eyes being normal.
Files in This Item:
T200300006.pdf Download
DOI
OAK-2003-00006
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Ophthalmology (안과학교실) > 1. Journal Papers
Yonsei Authors
Seo, Kyoung Yul(서경률) ORCID logo https://orcid.org/0000-0002-9855-1980
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/113166
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