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KMID : 1034720200120010040
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Journal of Neurosonology and Neuroimaging
2020 Volume.12 No. 1 p.40 ~ p.43
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Bilateral Optic Neuritis Associated with Central Nervous System Infection in an Adult
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Seo Jin-Young
Song Hong-Ki
Lee Ju-Hun
Bae Jong-Seok
Kim Ye-Rim
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Abstract
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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.
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KEYWORD
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Optic neuritis, Meningoencephalitis, Vision disorders, Visual acuity
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