Radiology Case Reports (Apr 2021)

Trans-synaptic degeneration of the optic radiation from optic nerve atrophy

  • Shingo Kihira, MD,
  • Anthony C. Arnold, MD,
  • Puneet S. Pawha, MD,
  • Pablo Villablanca, MD,
  • Kambiz Nael, MD

Journal volume & issue
Vol. 16, no. 4
pp. 855 – 857

Abstract

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Fourty-seven-year-old woman with 5-year history of progressive decreased left eye vision. Optical coherence tomography showed optic nerve atrophy (left > right) and brain MRI revealed T2 hyperintense signal along the course of left optic radiations. We present a case of a trans-synaptic degeneration of the optic radiation in a patient with confirmed optic atrophy. Trans-synaptic degeneration of the optic radiation without associated infarct or inflammatory disease has not been reported before in patients with optic atrophy.

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