Optic disc atrophy in children and neuroimaging findings.
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Date
2010-05
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Abstract
Objective: To study the correlation of neuroimaging findings in children who presented with optic disc atrophy.
Methods: Retrospective analysis of medical records of patients aged less than 17 years who presented with optic disc atrophy with neuroimaging examinations (magnetic resonance imaging or computed tomography) performed between January 1998 and December 2007 were included in the study.
Results: Eighty cases were included for analysis. There were abnormal neuroimaging findings in 54 cases (67.50%) and normal findings in 26 cases (32.50%). Stratification of these patients in 3 age groups were shown: less than 6 years of age, between 6 and 12 years of age, and more than 12 years of age. In the less than 6 years of age group, central nervous system (CNS) malformations and hydrocephalus were the most common neuroimaging findings. In the 6 to 12 years age group, brain tumors were the most common findings. In the more than 12 years of age group, one case had hydrocephalus and another had encephalomalacia at the right temporal lobe.
Conclusion: Children who presented with optic disc atrophy need neuroimaging examination to find life- threatening causes. CNS malformations and hydrocephalus are common findings in children aged less than 6 years and CNS tumors are common in children aged up to 12 years, especially in age group 6-12 years.
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Keywords
Optic atrophy, brain tumor, visual loss, central nervous system, children
Citation
Surachatkumtonekul Thammanoon, Kampanartsanyakorn Suchada, Rutvisuttinunt Piyada. Optic disc atrophy in children and neuroimaging findings. Siriraj Medical Journal, 2010 May; 62(3): 116-118.