Abstract
A 46 years old ladycame to ED with c/o B/L progressive loss of vision since 6 days associated with intermittent headache. With Left eye perception of hand movements at 10 inches. With Right eye she can see objects about 5 meters but unable to identify color and face MRI orbit contrast/MRI brain contrast s/o B/L optic neuritis with subtle T2/flair hyperintense signal is seen in the periaqueductal region, ? artefactual, ? changes of NMO/NMOSD Hematology report revealed anti MOG antibodies:Positive Visual Evoked Potential(VEP) suggestive ofB/L demyelinating anterior visual pathway defect ANA and vasculitic panel negative. Ophthalmo opinion revealed B/ Lpapilloedema.
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