Moran CORE

An e-channel resource

Open source ophthalmology education for students, residents, fellows, healthcare workers, and clinicians. Produced by the Moran Eye Center in partnership with the Eccles Library

Search Moran CORE

Clinical Case: A 20 Year-Old with Encephalopathy and Scotoma

Home / Neuro-OphthalmologySystemic Conditions with Neuro-ophthalmic Signs

Title: Clinical Case: A 20 Year old with Encephalopathy and Scotoma
Author: Zachary Joos, MD
Date: 09/26/2012
Keywords/Main Subjects: Encephalopathy; Homonymous hemianopia; MRI; Ring enhancing lesions; Acute disseminated encephalomyelitis; ADEM; Demyelinating Multiple sclerosis
Diagnosis: ADEM
Brief Description: This is a case presentation of a young adult male with a significant history of illegal drug use who presented with a unilateral “black spot” in vision. Visual fields showed homonymous hemanopia and patient exhibited signs of encephalopathy. Ring-enhancing lesions were seen on MRI and a differential of ring-enhancing lesions is given. A discussion of the history, diagnosis, clinical course, prognosis, and treatment of ADEM is discussed. 
Format: video
Series: Moran Eye Center Grand Rounds
Identifier: Moran_CORE_15624
Copyright statement: Copyright ©2015. Please see the Moran CORE terms of use for more information.