Optic neuritis in a child.

Abstract

A previously healthy four-year-old girl developed bilateral loss of vision over one day. Her course of optic nerve abnormalities, a related neurologic episode, and the response to corticosteroid therapy is presented. The diagnosis of optic neuritis in a child is made infrequently in an emergency department, but it must be considered in any patient presenting with an acute nontraumatic loss of vision. The characteristic findings associated with optic neuritis, and a review of childhood cases, are discussed.