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Marrow Fat in Periosteal New Bone after Fracture
Joseph Junewick, MD FACR
over 4 years ago
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Case History


8 year old female with acute onset of blindness.


Case Detail

Anatomy: Neck-Face
Junewick
Joseph Junewick, MD FACR
Diagnostic Category: Infectious-Inflammatory
Created: over 7 years ago
Updated: over 7 years ago
Tags: PEDS
Modality/Study Types: MR
Activities:
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Reveal Clinical Notes

CSF – Pleocytosis but no oligoclonal bands.

Reveal Findings

MR – FS postgadolinium T1 images show hyperintensity in the optic chiasm and the prechiasmatic right optic nerve.

Reveal Discussion

Devic’s disease (neuromyelitis optica) is a demyelinating disease distinct from multiple sclerosis characterized by acute onset of visual loss and paresthesias. Devics’s disease is often preceded by a viral-like prodrome of headache, fatigue, myalgias, respiratory symptoms and gastrointestinal distress. There is a female prepoderance; more than half experience relapse. CSF analysis shows pleocytosis and absence of oligoclonal bands. MR demonstrates edema and inflammation in the optic pathways often with no other evidence of central demyelination. Evaluation of the spinal cord usually shows long segment (>3 vertebral levels) central edema.

Reveal Diagnosis

Devic’s Disease

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