Acute demyelinating encephalomyelitis masquerading as a tumor
A 34-year-old female presented with a history of acute onset severe bilateral defective vision for 2 weeks. Examination revealed visual acuity CFat1 m in the right eye and 6/60 in the left eye. Right eye had Grade 1 relative afferent pupillary defect. Magnetic resonance imaging (MRI) brain was done...
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Wolters Kluwer Medknow Publications
2017-01-01
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doaj-c42937e61b294c9ebaeba146f9f75a022020-11-25T02:02:22ZengWolters Kluwer Medknow PublicationsKerala Journal of Ophthalmology0976-66772017-01-0129213914110.4103/kjo.kjo_70_17Acute demyelinating encephalomyelitis masquerading as a tumorR RemyaJ K AnnAni SreedharA 34-year-old female presented with a history of acute onset severe bilateral defective vision for 2 weeks. Examination revealed visual acuity CFat1 m in the right eye and 6/60 in the left eye. Right eye had Grade 1 relative afferent pupillary defect. Magnetic resonance imaging (MRI) brain was done which showed well-defined T1-hypointense, T2 and FLAIR hyperintense lesion of approximately 1.8 cm × 1.6 cm × 1.7 cm size in the right frontal lobe cortex and underlying white matter with a thin rim of contrast enhancement with well-defined outer border and a cortex broken arc appearance. MR spectroscopy showed increase in choline peak within the enhancing walls of the lesion and no decrease in N-acetyl aspartate peak suggestive of demyelination. Diagnosis of acute demyelinating encephalomyelitis was made and with a course of large dose steroid vision improved dramatically.http://www.kjophthal.com/article.asp?issn=0976-6677;year=2017;volume=29;issue=2;spage=139;epage=141;aulast=RemyaAcute demyelinating encephalomyelitisCortex broken arc appearanceMR spectroscopy |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
R Remya J K Ann Ani Sreedhar |
spellingShingle |
R Remya J K Ann Ani Sreedhar Acute demyelinating encephalomyelitis masquerading as a tumor Kerala Journal of Ophthalmology Acute demyelinating encephalomyelitis Cortex broken arc appearance MR spectroscopy |
author_facet |
R Remya J K Ann Ani Sreedhar |
author_sort |
R Remya |
title |
Acute demyelinating encephalomyelitis masquerading as a tumor |
title_short |
Acute demyelinating encephalomyelitis masquerading as a tumor |
title_full |
Acute demyelinating encephalomyelitis masquerading as a tumor |
title_fullStr |
Acute demyelinating encephalomyelitis masquerading as a tumor |
title_full_unstemmed |
Acute demyelinating encephalomyelitis masquerading as a tumor |
title_sort |
acute demyelinating encephalomyelitis masquerading as a tumor |
publisher |
Wolters Kluwer Medknow Publications |
series |
Kerala Journal of Ophthalmology |
issn |
0976-6677 |
publishDate |
2017-01-01 |
description |
A 34-year-old female presented with a history of acute onset severe bilateral defective vision for 2 weeks. Examination revealed visual acuity CFat1 m in the right eye and 6/60 in the left eye. Right eye had Grade 1 relative afferent pupillary defect. Magnetic resonance imaging (MRI) brain was done which showed well-defined T1-hypointense, T2 and FLAIR hyperintense lesion of approximately 1.8 cm × 1.6 cm × 1.7 cm size in the right frontal lobe cortex and underlying white matter with a thin rim of contrast enhancement with well-defined outer border and a cortex broken arc appearance. MR spectroscopy showed increase in choline peak within the enhancing walls of the lesion and no decrease in N-acetyl aspartate peak suggestive of demyelination. Diagnosis of acute demyelinating encephalomyelitis was made and with a course of large dose steroid vision improved dramatically. |
topic |
Acute demyelinating encephalomyelitis Cortex broken arc appearance MR spectroscopy |
url |
http://www.kjophthal.com/article.asp?issn=0976-6677;year=2017;volume=29;issue=2;spage=139;epage=141;aulast=Remya |
work_keys_str_mv |
AT rremya acutedemyelinatingencephalomyelitismasqueradingasatumor AT jkann acutedemyelinatingencephalomyelitismasqueradingasatumor AT anisreedhar acutedemyelinatingencephalomyelitismasqueradingasatumor |
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