Hosting 721 files, 2924 images, and 4 contributors.

Random Case

Vascular Malformation
Joseph Junewick, MD FACR
over 6 years ago
Enter A Workflow
Standard2   Academic2

Please choose a workflow. A standard workflow allows you to browse the repository with full case detail; the academic workflow allows you to browse the repository with limited case detail revealed. Double click on the images to launch image viewer.

ARSt Case Repository

Case History

8 year old female with acute onset of blindness.

Case Detail

Anatomy: Neck-Face
Joseph Junewick, MD FACR
Diagnostic Category: Infectious-Inflammatory
Created: over 7 years ago
Updated: over 7 years ago
Tags: PEDS
Modality/Study Types: MR
Adobe32 PDF Imagej32 ImageJA

Case Images

Academic Case Revealer (Click to Expand)

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

Corporate Office: 616.363.7272, 3264 North Evergreen Drive, Grand Rapids, MI 49525

Spectrum Health Helen Devos Childrens Hospital GE HealthCare