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 NEUROIMAGING
Year : 2021  |  Volume : 16  |  Issue : 3  |  Page : 264-265

Optic nerve glioma in neurofibromatosis: Radiological clues to diagnosis in a young child


1 Department of Pediatrics, All India Institute of Medical Sciences, New Delhi, India
2 Department of Radiodiagnosis, All India Institute of Medical Sciences, New Delhi, India

Correspondence Address:
Dr. Sheffali Gulati
Centre of Excellence and Advanced Research on Childhood Neurodevelopmental Disorders; Division of Child Neurology, Department of Pediatrics, All India Institute of Medical Sciences, New Delhi 110029
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jpn.JPN_189_20

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A 13-month-old boy presented with delay in attainment of milestones. On examination, he had café au lait spots and central hypotonia. MRI brain with contrast revealed bilateral bulky enhancing optic nerves with involvement of chiasma. Mid-orbit downward kinking and pseudo-cerebrospinal fluid sign classical of optic nerve glioma (OPG) with neurofibromatosis1 (NF1) could be well appreciated in the MRI. Correct identification of OPG may help in the diagnosis of NF1 in a young child, as other phenotypic features appear later in childhood.






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