Clinical Case: A 20 Year-Old with Encephalopathy and Scotoma
Title: Clinical Case: A 20 Year old with Encephalopathy and Scotoma
Author: Zachary Joos, MD
Keywords/Main Subjects: Encephalopathy; Homonymous hemianopia; MRI; Ring enhancing lesions; Acute disseminated encephalomyelitis; ADEM; Demyelinating Multiple sclerosis
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.
Series: Moran Eye Center Grand Rounds