A 33-year-old woman with MOG antibody-positive serology presents with her third episode of optic neuritis in 18 months. Vital signs: BP 118/76, HR 88, RR 16, Temp 37.2°C, SpO2 98%. Each episode has recovered partially with cumulative residual vision loss. Brain MRI demonstrates minimal white matter involvement with no corpus callosum lesions. She denies recent infections or systemic symptoms. Which diagnosis best explains her recurrent demyelinating episodes?
- A)Acute disseminated encephalomyelitis
- B)MOG-associated demyelinating diseaseGABARITO
- C)Neuromyelitis optica spectrum disorder
- D)Functional visual loss
- E)Multiple sclerosis
Explicação
MOG-antibody-associated demyelinating disease typically presents with recurrent optic neuritis, often severe and affecting both eyes in separate episodes. Multiple relapses over 18 months with limited brain involvement and positive MOG serology are characteris... Ver explicação completa e trilha adaptativa →