A Case of Multiple Sclerosis with Involvement of Optic Chiasm and Optic Tract.
- Author:
Jae Hoon AN
1
;
Bum Saeng KIM
;
Yeong In KIM
;
Min Soo KANG
;
Kwang Soo LEE
;
Ko Myong LIEU
Author Information
1. Department of Neurology, Catholic University Medical College Seoul, Korea.
- Publication Type:Case Report
- MeSH:
Adult;
Blindness;
Female;
Hand;
Humans;
Internal Capsule;
Magnetic Resonance Imaging;
Multiple Sclerosis*;
Optic Chiasm*;
Optic Neuritis;
Paresis;
Visual Fields;
Visual Pathways*
- From:Journal of the Korean Neurological Association
1990;8(1):115-122
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
One of the most common symptoms of multiple sclerosis is visual loss. But the most previous reported cases are unilaterai visual loss due to optic neuritis or retrobulbar optic neuritis or visual field defect due to chiasmal or optic tract lesion. We report a 34 year old female patient who had developed sudden onset of blindenss because of optic chiasm and optic tract lesion. She also complained of involuntary right hand movement and mild left hemiparesis. On T2-weighted image of MRI we found abnormal high sigmal intensities on the optic chiasm, bilateral optic tract, internal capsule and periventricular white matter. Her total blindness has not recovered until the last follow nine months after the initial event.
