Bitemporal Hemianopia with Optic Chiasm Lesion: An Uncommon Presentation of MOGAD
predominance and elevated CSF protein.COVID-19 PCR was positive.CT, B-scan, and MRI showed bilateral retinal detachment with no optic nerve involvement.Fundus fluorescein angiography of the bilateral retinal vessels revealed mottled hyperfluorescence and hypofluerescence and bilateral fundus autofluorescence associated with retinal pigment epithelium detachment consistent with VKH. ConclusionsVKH is a rare and potentially debilitating disorder in which severe complications can be avoided by early diagnosis and adequate treatment.Mainstay treatment includes corticosteroids and immunosuppressants.Viral infections such as cytomegalovirus (CMV) have been reported to trigger the development of VKH, possibly due to underlying molecular mimicry.COVID-19 was a potential immunological trigger of VKH in our patient, given infection onset was prior to the 2-week history of VKH onset.Although rare, COVID-19 may be considered a precipitant of VKH.
Authors
- Sushma Yerram
- Paisith Piriyawat
- Naila Kausar
- Salvador Cruz‐Flores (ORCID: https://orcid.org/0000-0003-4998-1471)
- Amy Huimin-Gao Sim
- Julia Guido
- Claudia Prospero Ponce
Publication Details
- Journal
- Neurology
- Published
- 2024-10-08
- DOI
- https://doi.org/10.1212/01.wnl.0001051208.91387.34
- Primary Topic
- Retinal Diseases and Treatments
- Type
- article
- Field-Weighted Citation Impact
- 0.00