Pediatric Infection and Vaccine
- 제11권2호
- /
- Pages.192-197
- /
- 2004
- /
- 2384-1079(pISSN)
- /
- 2384-1087(eISSN)
홍역 감염 후 발생한 양측성 시신경염 1례
Bilateral Optic Neuritis after Measles Infection
- 황성현 (가톨릭대학교 의과대학 소아과학교실) ;
-
김종현
(가톨릭대학교 의과대학 소아과학교실)
;
- 오진희 (가톨릭대학교 의과대학 소아과학교실) ;
- 고대균 (가톨릭대학교 의과대학 소아과학교실)
- Hwang, Sung Hyun (Department of Pediatrics, College of Medicine, The Catholic University of Korea) ;
-
Kim, Jong-Hyun
(Department of Pediatrics, College of Medicine, The Catholic University of Korea)
;
- Oh, Jin Hee (Department of Pediatrics, College of Medicine, The Catholic University of Korea) ;
- Koh, Dae Kyun (Department of Pediatrics, College of Medicine, The Catholic University of Korea)
- 발행 : 2004.11.30
초록
A 9-year-old boy who was confirmed measles by clinical manifestations and serum measles IgM antibody presented with bilateral visual loss 12 days after the onset of maculopapular rash. Complete ophthalmic and neurologic examinations, radiologic studies, and lumbar puncture were performed. Visual acuities were counting fingers in both eyes, with mild bilateral optic disk hyperemia and swelling noted. Neurologic examination was unremarkable, however, a magnetic resonance imaging of the brain showed high signals on basal ganglia, and periventricular white matter. The cerebrospinal fluid was devoid of white cells. Intravenous methylprednisolone and high dose immunoglobulins were administered, and clinical findings resolved completely within 6 months.