Abstract
About 80% of cat-scratch disease (CSD) infections occur in children, and CSD neuroretinitis (optic neuropathy with retinal exudates in a "macular star" pattern) mostly occurs in children and young adults. A recent study suggested that CSD optic neuropathy has specific features on MR imaging. However, MR imaging findings in CSD neuroretinitis are not well described in the pediatric literature. We present a patient with CSD neuroretinitis in whom these specific MR imaging features preceded the macular star, a funduscopic finding strongly suggestive of neuroretinitis. This case demonstrates how knowledge of these features is important in the appropriate diagnostic work-up of optic neuropathy. MR imaging also incidentally revealed neuritis of another cranial nerve in the auditory canal - a rare manifestation of CSD.
Original language | English (US) |
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Pages (from-to) | 840-843 |
Number of pages | 4 |
Journal | Pediatric Radiology |
Volume | 37 |
Issue number | 8 |
DOIs | |
State | Published - Aug 1 2007 |
Keywords
- Cat-scratch disease
- Children
- MRI
- Neuroretinitis
- Opticneuropathy
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health
- Radiology Nuclear Medicine and imaging