Neuritis óptica aguda en paciente pediátrico: Reporte de caso

Abstract

Optic neuritis is the inflammation of the optic nerve secondary to systemic, infectious, and/or autoimmune processes. In childhood, its prevalence is low compared to adults, and its diagnosis is challenging due to the lack of a specific clinical presentation. Therefore, this report describes the course of the disease in a 12-year-old patient admitted to with left-sided hemicranial headache, accompanied by floaters and blurred vision in the left eye. Fundus examination of the left eye revealed an elevated optic disc with peripapillary vascular congestion, leading to a suspicion of optic neuritis, which was subsequently confirmed by magnetic resonance imaging (MRI). Treatment with corticosteroids was initiated with an adequate response, demonstrating their efficacy in reducing the inflammatory response triggered by an immune response. This report presents and documents the clinical picture, its management, and the patient's response to the treatment, aiming to provide further information on the pathology for consideration by the medical community.