["Idiopathic" acute optic neuropathies in children].
We reported a retrospective study of 27 children (mean age = 10 years), who presented a loss of vision due to an acute optic neuritis, between 1982 and 1997. The symptoms ar more likely bilateral in children, and frequently associated with systemic viral infection or hepatitis B vaccination. Multiple sclerosis occurs approximately in 20 p. cent of the cases, i.e. less frequently than by adults. Magnetic resonance imaging is now systematic: in 20 children hyperintense nodular abnormalities in a various distribution was demonstrated by 9 children. During the follow-up, 23 eyes of 27 have an excellent recovery of vision, but 4 patients have developed multiple sclerosis. Corticotherapy was uses in 23 cases, in the form of methylprednisolone intravenous flashes in 14 cases.
Clinique Ophtalmologique à l'Université de Paris V-Cochin Port-Royal-Centre National d'Ophtalmologie des Quinze-Vingts, 28 rue de Charenton-75571 Paris.
H
H
Hamard
P
P
Hamard
P
P
Gohier
B
B
Roussat
D
D
Doummar
M T
MT
Iba-Zizen
D000208:Acute Disease; D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D009901:Optic Nerve Diseases / Q000175:diagnosis*