Utility of MR imaging in cat-scratch neuroretinitis

Arun K. Reddy, Michael C. Morriss, Greg I. Ostrow, Merrill Stass-Isern, Scott E. Olitsky, Lisa H. Lowe

Research output: Contribution to journalArticle

11 Scopus citations

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 languageEnglish (US)
Pages (from-to)840-843
Number of pages4
JournalPediatric Radiology
Volume37
Issue number8
DOIs
Publication statusPublished - Aug 2007

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Keywords

  • Cat-scratch disease
  • Children
  • MRI
  • Neuroretinitis
  • Opticneuropathy

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Pediatrics, Perinatology, and Child Health
  • Radiological and Ultrasound Technology

Cite this

Reddy, A. K., Morriss, M. C., Ostrow, G. I., Stass-Isern, M., Olitsky, S. E., & Lowe, L. H. (2007). Utility of MR imaging in cat-scratch neuroretinitis. Pediatric Radiology, 37(8), 840-843. https://doi.org/10.1007/s00247-007-0514-1