A 34-year-old woman presents with acute vision loss in her left eye and retro-orbital pain on eye movement. Vital signs: BP 118/76, HR 88, RR 16, Temp 37.2°C, SpO2 98%. Examination reveals a relative afferent pupillary defect and impaired color discrimination. Brain MRI demonstrates multiple periventricular T2 hyperintensities. Visual evoked potentials show delayed latency. She denies fever or recent infections. Which of the following is the most likely diagnosis?
- A)Acute ischemic stroke
- B)Sarcoidosis
- C)Leber hereditary optic neuropathy
- D)Multiple sclerosisGABARITO
- E)Neuromyelitis optica spectrum disorder
Explicação
Optic neuritis presenting with monocular vision loss, pain on eye movement (retrobulbar inflammation), and RAPD is a classic demyelinating lesion. Periventricular T2 hyperintensities are typical for MS. This combination indicates demyelinating disease, most co... Ver explicação completa e trilha adaptativa →