Pediatric Optic Neuritis - MOG/NMO/LP On All, or Some (Focused Work-Up & Extensive Work-Up)

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Identifier 20210223_nanos_controversiespediatricno1_02-abstract
Title Pediatric Optic Neuritis - MOG/NMO/LP On All, or Some (Focused Work-Up & Extensive Work-Up)
Creator Jennifer Graves, MD, PhD, MAS; Jason Peragallo, MD
Subject Pediatric Neuro-ophthalmology; Optic Neuritis; Neuromyelitis Optica; Myelin Oligodendrocyte Glycoprotein; Multiple Sclerosis
Description There is a wide differential for pediatric optic neuritis (ON) and the diagnostic workup for underlying etiologies needs to be carefully considered. Furthermore, bedside clinical pearls used to narrow the differential in adult ON don't always apply in pediatric ON. Children with ON are more likely to present with features such as optic nerve head edema, absence of pain, severe initial vision loss, and bilateral involvement, which would all be considered atypical for adult patients. Obtaining multiple imaging studies and lumbar puncture in adults with ON is routine, but in children these tests may be more controversial as sedation is required for the youngest patients. With the now wide availability of NMO and MOG antibody serum testing, many cases of pediatric ON associated with these disorders can be diagnosed with routine bloodwork, but these tests can take 10-14 days to return.
Relation is Part of NANOS Annual Meeting 2021: Controversies in Pediatric Neuro-Ophthalmology
Publisher Spencer S. Eccles Health Sciences Library, University of Utah
Date 2021-02
Format application/pdf
Source 2021 North American Neuro-Ophthalmology Society Annual Meeting
Rights Management Copyright 2021. For further information regarding the rights to this collection, please visit:
Holding Institution North American Neuro-Ophthalmology Association. NANOS Executive Office 5841 Cedar Lake Road, Suite 204, Minneapolis, MN 55416
Collection Neuro-ophthalmology Virtual Education Library: NOVEL
Language eng
ARK ark:/87278/s6354fbj
Setname ehsl_novel_nam
Date Created 2021-03-10
Date Modified 2021-05-06
ID 1671099
Reference URL
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