Dr.Ravali Yenepalli

Dr.Archana Gunabalan

Abstract

INTRODUCTION:OPTIC NEURITIS(ON) IS AN INFLAMMATORY,INFECTIVE OR DEMYELINATING DISEASE OF OPTIC NERVE,PRESENTING WITH SUDDEN LOSS OF VISION,PAIN. CASE DESCRIPTION:A 52 YEAR OLD FEMALE PRESENTED WITH HEADACHE,VOMITING,BLURRING OF VISION RIGHT EYE(RE) WITH TEMPORAL VISUAL FIELD DEFECT,EYE PAIN ON MOVEMENT,DESATURATION OF COLORS SINCE 1 WEEK.KNOWN HYPERTENSIVE UNDER TREATMENT.VISION RIGHT EYE 6/24 WITH PINHOLE 6/9,LEFT EYE 6/18 WITH PINHOLE 6/9.ANTERIOR CHAMBER SHALLOW,GONIOSCOPY OCCLUDABLE ANGLES,RE PUPIL RAPD,FUNDUS NORMAL.OCTOPUS VISUAL FIELD DEFECT RE.MRI BRAIN WITH MRA,MRV,ORBIT,AND SCREENING OF WHOLE SPINE(CONTRAST) SUGGESTIVE OF DEMYELINATING DISEASE OF BRAIN AND SPINAL CORD.CHRONIC THROMBUS IN THE LEFT TRANSVERSE SINUS.DIFFERENTIALS- NEUROMYELITIS OPTICA,PROGRESSIVE MULTIFOCAL LEUKOENCEPHALOPATHY. DISCUSSION: ON IS THE INITIAL PRESENTATION OF DEMYELINATING DISEASE (MULTIPLE SCLEROSIS).EARLY DIAGNOSIS AND REFERRAL TO NEUROLOGIST FOR TIMELY TREATMENT HELPS IN BETTER PROGNOSIS