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Deze abstract is toegekend aan sessie SBO-BOG Posters session >> in Poster area - Foyer +1
TitelRetrobulbar optic neuritis with positive syphilitic tests and imaging lesions suggesting a multiple sclerosis. A case report.
DoelTo describe a case of retrobulbar optic neuritis suggesting a multiple sclerosis associated with a secondary syphilis.

MethodesOphthalmological, neurological, biological and radiological findings are described in a 30-year-old man with right retrobulbar optic neuritis.
ResultatenThe ophthalmologic examination revealed a decrease of visual acuity with loss of colour vision on the right eye, intraocular inflammation and visual field defect on both eyes. Brain MRI showed multiple T2/FLAIR hyperintense non enhancing lesions that fulfilled 2 of the 4 Barkhof criteria for the diagnosis of MS. Oligoclonal bands were detected in the CSF while the IgG-albumin index was normal. Blood VDRL, TPHA and FTA were all positive.
ConclusieAs optic neuritis, oligoclonal bands and white matter abnormalities can be found either in syphilis or in MS, clinicians should be cautious when interpreting the biological workup. This case highlights the importance of syphilitic serology in the management and in the differential diagnosis of optic neuritis and MS.
Auteur 1
NaamKISMA
InitialenN
InstituutHOPITAL ERASME
StadBRUXELLES
Auteur 2
NaamVOKAER
InitialenM
InstituutHOPITAL ERASME
StadBRUXELLES
Auteur 3
NaamBALERIAUX
InitialenD
InstituutHOPITAL ERASME
StadBRUXELLES
Auteur 4
NaamSCHROOYEN
InitialenM
InstituutHOPITAL ERASME
StadBRUXELLES
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