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Case Reports
. 2020 Jan-Dec:8:2324709620976018.
doi: 10.1177/2324709620976018.

COVID-19-Induced Acute Bilateral Optic Neuritis

Affiliations
Case Reports

COVID-19-Induced Acute Bilateral Optic Neuritis

Khalid Sawalha et al. J Investig Med High Impact Case Rep. 2020 Jan-Dec.

Abstract

A 44-year-old male patient with no past medical history presented 2 weeks after seropositive coronavirus disease 2019 (COVID-19) infection with vision problems suggestive of optic neuritis. Radiological testing showed findings suspicious for acute bilateral optic neuritis. The patient had also anti-MOG antibodies. Whether this was an optic neuritis due to COVID-19, MOG antibody disease, or an activation of MOG antibody disease by COVID-19 is discussed in this case.

Keywords: COVID-19; bilateral optic neuritis.

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Conflict of interest statement

Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Axial orbital magnetic resonance imaging pre gadolinium contrast showing right optic nerve has a slightly ill-defined appearance more than left.
Figure 2.
Figure 2.
Axial orbital magnetic resonance imaging post gadolinium contrast showing enhancement of the right optic nerve. Lesser degrees of enhancement are seen in the left optic nerve, particularly in the more proximal segment. Optic chiasm has a normal appearance. Globes are normal in appearance. Extraocular muscles are symmetric and within normal limits.
Figure 3.
Figure 3.
Coronal orbital magnetic resonance imaging post gadolinium contrast showing right optic nerve has a slightly ill-defined appearance more than left.

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