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KMID : 0604620080150010260
Dongguk Journal of Medicine
2008 Volume.15 No. 1 p.260 ~ p.268
A Case of Clinically Isolated Syndrome in 10 Year-old Girl with Decreased Right Visual Acuity
Kwon Se-Ho

Lee Byung-Kook
Lee Heun-Ji
Moon Ji-Young
Min Sung-Ju
Park Choul-Yong
Park Soo-Yeon
Abstract
A clinically isolated syndrome is a first acute clinical episode of CNS symptoms with a presumed inflammatory demyelinating cause for which there is no prior history of a demyelinating event. MRI evidence of multiple clinically silent lesions may be associated with an increased risk of multiple sclerosis. Multiple sclerosis is a demyelinating disorders that affects discrete areas of the CNS, including the optic nerve, in a quite variable relapsing-remitting fashion over a prolonged period of time. Although usually considered to be a disease that affects people in early to middle adulthood, children develop multiple sclerosis and may account for up to 4% to 5% of all reported cases. We present a case of clinically isolated syndrome in 10 year-old girl with decreased right visual acuity. She was admitted due to decreased unilateral visual acuity that known incidentally. We founded abnormal finding on brain and whole spine magnetic resonance imaging and treated her with steroid.
KEYWORD
multiple sclerosis, optic neuritis, Clinically isolated syndrome
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