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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Optic Nuerities In A Child

Comments = My son 7 ½ yr suffered Optic Nuerities.He was prescribed in first time on 1.6.2009 injection Metypred/IVpred 250mg & Tab Omna Cortil by which he recovered from such disorder.Again after 8 month same disease has recovered & same treatment was given. Again after 12 months same disease has recovered the same treatment was given. Pl.suggest what precautions/treatment should be given in future. Kindly please inform me as to why this disorder is recurring. , Address = 15, Wright Town, Ganjipura, zip Code = 482002, City = Jabalpur, State = Madhya Pradesh, Country = India, Phone = 0000, E-Mail = YYYY@YYYY . At present he is complaining Headache. It is worthwhile to bring to your notice that twice Brain MRI and other medical tests and checkups as suggested by neurologist and ophthalmologist have been done for the aforesaid purpose. However no defect was found and the reports were normal.
Fri, 1 Sep 2017
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Pediatrician,  's  Response
Hello and welcome to healthcare magic
Recurring optic neuritis in a child can be part of two demyelimating condition (which means nerve sheath destruction.The sheath called myelin protects and feeds the nerve).One is multiple sclerosis
(MS) and other ADEM-on (acute dissiminated encephalomyelitis-optic neuritis).
But MRI has to be abnormal for diagnosis of these conditions.
So probably your child is suffering from a condition
Recurrent Idiopathic Optic Neuritis as MRI is normal and no other system is involved.
The recurrence depends upon previous dose of steroids.High enough dose of IV steroids prevents recurrence.
The number one precaution is vigillent watching If other systems like sensation movement hearing and consious level is affected take him immediately to neurophysician to rule out Ms and ADEM-ON.If future attack occurs talk to your neurophysician about high dose IV steroids.
Moreover gastrointestinal infections and chest infection can also trigger Recurrent Idiopathic Optic neuritis.So precautions can be practiced to avoid such infections like use of boiled water hand sanitation before eating and preparing meals after using toilet.Yearly influenza vaccination.Keeping Nose and throat moistened during cold and dry weather.
Hope you find this answer helpful.
Good luck!
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Suggest Treatment For Optic Nuerities In A Child

Hello and welcome to healthcare magic Recurring optic neuritis in a child can be part of two demyelimating condition (which means nerve sheath destruction.The sheath called myelin protects and feeds the nerve).One is multiple sclerosis (MS) and other ADEM-on (acute dissiminated encephalomyelitis-optic neuritis). But MRI has to be abnormal for diagnosis of these conditions. So probably your child is suffering from a condition Recurrent Idiopathic Optic Neuritis as MRI is normal and no other system is involved. The recurrence depends upon previous dose of steroids.High enough dose of IV steroids prevents recurrence. The number one precaution is vigillent watching If other systems like sensation movement hearing and consious level is affected take him immediately to neurophysician to rule out Ms and ADEM-ON.If future attack occurs talk to your neurophysician about high dose IV steroids. Moreover gastrointestinal infections and chest infection can also trigger Recurrent Idiopathic Optic neuritis.So precautions can be practiced to avoid such infections like use of boiled water hand sanitation before eating and preparing meals after using toilet.Yearly influenza vaccination.Keeping Nose and throat moistened during cold and dry weather. Hope you find this answer helpful. Good luck!