Bilateral optic neuritis in a child diagnosed with Gd-enhanced MR imaging using fat-suppression technique.
A 4-year-old boy developed bilateral optic neuritis. Although precise neuro-ophthalmological evaluation was difficult, the diagnosis was made with gadolinium-enhanced MR imaging using fat-suppression technique in the initial stage of the disease. Enhancement and enlargement of the intraorbital and intracanalicular optic nerve were demonstrated bilaterally as well as protrusion of the optic nerve head. The disease responded dramatically to intravenous steroid therapy. The etiologies in children usually differ from those in adolescent and adult patients.
Okamoto
K
K
Department of Radiology, Niigata University School of Medicine, Japan.
Ito
J
J
Ogawa
R
R
Furusawa
T
T
Sakai
K
K
Tokiguchi
S
S
Takagi
M
M
D000273:Adipose Tissue; D002675:Child, Preschool; D003287:Contrast Media; D005500:Follow-Up Studies; D005682:Gadolinium; D005938:Glucocorticoids / Q000008:administration & dosage; D006571:Heterocyclic Compounds; D006801:Humans; D007275:Injections, Intravenous; D008279:Magnetic Resonance Imaging / Q000379:methods*; D008297:Male; D009900:Optic Nerve / Q000473:pathology*; D009902:Optic Neuritis / Q000175:diagnosis* / Q000188:drug therapy; D009942:Organometallic Compounds
D003287:Contrast Media; D005938:Glucocorticoids; D006571:Heterocyclic Compounds; D009942:Organometallic Compounds; C062402:gadoteridol; D005682:Gadolinium