Pediatric optic neuritis: a diagnostic challenge Pediatric optic neuritis: a diagnostic challenge

Neuritis óptica pediátrica: un desafio diagnóstico

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Bermejo Padilla, S., & Araujo Polania, A. F. (2022). Pediatric optic neuritis: a diagnostic challenge Pediatric optic neuritis: a diagnostic challenge. Journal of Medicine and Surgery Repertoire, 31(2), 182–186. https://doi.org/10.31260/RepertMedCir.01217372.1148
Published: Jul 14, 2022
Doi
https://doi.org/10.31260/RepertMedCir.01217372.1148
Issue
Vol. 31 No. 2 (2022): Mayo - Agosto
Section
Case Reports
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Main Article Content

Sindy Bermejo Padilla
Universidad Militar Nueva Granada
https://orcid.org/0000-0003-4050-2374
Andrés Felipe Araujo Polania
Universidad Militar Nueva Granada
https://orcid.org/0000-0001-7457-7951

Abstract

Background: Optic neuritis requires challenging diagnosis and management, it can present in isolation or associated with inflammatory disorders, being part of the clinic of up to 25% of pediatric acute demyelinating syndromes. The estimated annual incidence of pediatric ON is 0.2 per 100,000 children, with a female preponderance and a mean age of presentation of 9 to 11 years.


Summary: We present the case of a 12-year-old patient with an acute picture of diplopia, left eye pain; Without relevant antecedents, in whom was found paralysis of the VI left pair and brain magnetic resonance (RMc) with enhancement in the optic nerve, beginning treatment with intravenous corticosteroid therapy, after ruling out infectious pathologies, with satisfactory evolution.


Conclusions: In the spectrum of optic neuritis, knowledge of its different etiologies is important, since the treatment and prognosis depend on the cause.


Key words: Pediatric optic neuritis, myelitis, aquaporin-4 antibody, multiple sclerosis, myelin oligodendrocyte glycoprotein antibody.

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Author Biographies

Sindy Bermejo Padilla, Universidad Militar Nueva Granada

Médica Pediatra, Fellow de Neurología pediátrica, Universidad Militar Nueva Granada. Servicio de Neuropediatria, Hospital Militar Central, Bogotá, Colombia

Andrés Felipe Araujo Polania, Universidad Militar Nueva Granada

Médico Pediatra, Especialista en Neuropediatría, docente titular Universidad Militar Nueva Granada. Servicio de Neuropediatría, Hospital Militar Central, Bogotá, Colombia

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