Indian Journal of Radiology and Imaging Indian Journal of Radiology and Imaging

CASE REPORT
Year
: 2020  |  Volume : 30  |  Issue : 2  |  Page : 222--224

Anti-myelin oligodendrocyte glycoprotein antibody-positive coursing with optic neuritis: Imaging and clinical implications


Nithisha Thatikonda1, Juan Gomez2, Eduardo Gonazalez Toledo3 
1 Medical Student, GMC Nagpur, MUHS, India
2 Radiology Research Fellow, Louisiana State University Health Science Centre, Shreveport, USA
3 Department of Radiology, Louisiana State University Health Science Centre, Shreveport, USA

Correspondence Address:
Dr. Eduardo Gonazalez Toledo
1501 Kings Hwy, Shreveport, LA 71103
USA

A 9-year-old boy was admitted to our institution with acute onset of bilateral blurry vision. Physical examination revealed bilateral papilledema. Cerebrospinal fluid analysis and comprehensive metabolic panel were normal. Magnetic resonance imaging (MRI) of the brain showed extensive bilateral optic nerve inflammation with post-contrast gadolinium enhancement on T1-weighted sequence. The involvement was limited to the anterior segments of the optic nerves sparing chiasma and optic tracts. Anti-aquaporin-4 antibody (AQP4) was negative while anti-myelin oligodendrocyte glycoprotein antibody (MOG) was positive. After intravenous methylprednisolone, his vision dramatically improved. The patient was discharged with only mildly impaired visual acuity, 2 weeks after admission. Follow-up brain MRI and MOG assay after 3 months were within normal limits.


How to cite this article:
Thatikonda N, Gomez J, Toledo EG. Anti-myelin oligodendrocyte glycoprotein antibody-positive coursing with optic neuritis: Imaging and clinical implications.Indian J Radiol Imaging 2020;30:222-224


How to cite this URL:
Thatikonda N, Gomez J, Toledo EG. Anti-myelin oligodendrocyte glycoprotein antibody-positive coursing with optic neuritis: Imaging and clinical implications. Indian J Radiol Imaging [serial online] 2020 [cited 2020 Sep 18 ];30:222-224
Available from: http://www.ijri.org/article.asp?issn=0971-3026;year=2020;volume=30;issue=2;spage=222;epage=224;aulast=Thatikonda;type=0