Abstract
A 57-year-old man developed acute bilateral vision loss clinically consistent with bilateral optic neuritis. Within 1 month of diagnosis, he developed progressive and severe neurologic dysfunction, and repeat MRI demonstrated enhancement of the optic chiasm and optic tracts, as well as a large enhancing lesion within the right parieto-occipital lobe. Stereotactic-guided brain biopsy demonstrated demyelination consistent with multiple sclerosis. A diagnosis of fulminant multiple sclerosis was made. The patient died within 2 months of diagnosis. Multiple sclerosis and a fulminant subtype known as Marburg disease are discussed.
Original language | English (US) |
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Pages (from-to) | 460-466 |
Number of pages | 7 |
Journal | Survey of Ophthalmology |
Volume | 55 |
Issue number | 5 |
DOIs | |
State | Published - Sep 2010 |
Keywords
- Bilateral visual loss
- Fulminant
- Marburg
- Multiple sclerosis
- Optic neuritis
- Treatment