A 34-year-old woman presents with sudden vision loss in her right eye over 2 days. She describes pain with eye movement and a central scotoma on visual field testing. Ophthalmoscopy shows a normal-appearing optic disc. She has a history of intermittent leg weakness 2 years ago that resolved spontaneously. MRI shows T2 hyperintense lesion in the optic nerve. Which of the following is the most likely diagnosis?
- A)Multiple sclerosisGABARITO
- B)Arteritic anterior ischemic optic neuropathy
- C)Neuromyelitis optica spectrum disorder
- D)Central retinal artery occlusion
- E)Leber hereditary optic neuropathy
Explicação
This is optic neuritis, a demyelinating condition strongly associated with multiple sclerosis. The combination of monocular vision loss, painful eye movements, central scotoma, normal-appearing disc initially, and prior neurologic symptoms suggest MS. Brain MR... Ver explicação completa e trilha adaptativa →