Neuro-oph Case 3: Case Continued…

Neuro-oph Case 3 Index

Answer: You astutely note optic disc swelling in the left eye.  

You order an MRI brain and orbits. A few of the images are shown below:

The radiology report reads:
“MRI Brain: Multiple non-enhancing foci of FLAIR hyperintensity, predominantly in the periventricular regions. Thickening and enhancement along the visualized course of the left optic nerve.”

What’s the most likely diagnosis? Pick 1 before scrolling down.
Demyelinating optic neuritis
Acute ischemic optic neuropathy
 
Amaurosis fugax
Retinal detachment
 
Idiopathic intracranial hypertension
 
Orbital meningioma
 
Migraine with aura
 

What underlying condition most likely led to this acute presentation? Pick 1 before moving on.
Sarcoidosis
Neurosyphilis
 
Meningitis
Multiple sclerosis
 
Polymyalgia rheumatica
 

Click here to move on!

Neuro-oph Case 3 Index

Neuro-oph Case 3: Introduction
Neuro-oph Case 3: Physical Exam