Korean J Pediatr Infect Dis.  2004 Nov;11(2):192-197. 10.14776/kjpid.2004.11.2.192.

Bilateral Optic Neuritis after Measles Infection

Affiliations
  • 1Department of Pediatrics, College of Medicine, The Catholic University of Korea, Seoul, Korea. jh00mn@catholic.ac.kr

Abstract

A 9-year-old boy who was confirmed measles by clinical manifestations and serum measles IgM antibody presented with bilateral visual loss 12 days after the onset of maculopapular rash. Complete ophthalmic and neurologic examinations, radiologic studies, and lumbar puncture were performed. Visual acuities were counting fingers in both eyes, with mild bilateral optic disk hyperemia and swelling noted. Neurologic examination was unremarkable, however, a magnetic resonance imaging of the brain showed high signals on basal ganglia, and periventricular white matter. The cerebrospinal fluid was devoid of white cells. Intravenous methylprednisolone and high dose immunoglobulins were administered, and clinical findings resolved completely within 6 months.

Keyword

Measles IgM antibody; Visual loss; Intravenous corticosteroids; High dose immunoglobulins

MeSH Terms

Basal Ganglia
Brain
Cerebrospinal Fluid
Child
Exanthema
Fingers
Humans
Hyperemia
Immunoglobulin M
Immunoglobulins
Magnetic Resonance Imaging
Male
Measles*
Methylprednisolone
Neurologic Examination
Optic Disk
Optic Neuritis*
Spinal Puncture
Visual Acuity
White Matter
Immunoglobulin M
Immunoglobulins
Methylprednisolone
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