Nervous System & Special Senses

{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"This 34-year-old woman has developed sudden unilateral loss of vision and weakness of both lower limbs \u2013 an unusual presentation with a myriad of differential diagnoses.\n\nHer examination objectively quantifies the neurological deficits by demonstrating severely reduced visual acuity in the right eye, along with a sensory level at T10, and upper motor neuron type palsies in both lower limbs. There appear to be two distinct lesions \u2013 one involving the second cranial nerve and the other involving the thoracic spinal cord.\n\nThere is sufficient evidence to make the clinical diagnosis of right-sided optic neuritis, given the acute loss of visual acuity, relative afferent pupillary defect (RAPD), eye pain, and lack of competing diagnoses. Note"}]}

Want to continue playing?

Open your Clinical Odyssey account today.

Enjoy unlimited access to 600+ simulations.
Safely improve your skills, anytime and anywhere.
Get answers to your follow-up questions from practicing physicians.