Table 2.
Age at onset (years) | Gender | Clinical presentation | Vision loss | MRI features at onset | Duration of follow-up (years) | Clinical outcome |
---|---|---|---|---|---|---|
16.0 | Female | monosymptomatic | Unilateral | Multiple lesions; PVPOL, CWM | 5.0 | Multiple sclerosis |
13.7 | Female | monosymptomatic | Unilateral | Multiple lesions; PVPOL, CBL | 10.2 | Multiple sclerosis |
12.1 | Male | monosymptomatic | Unilateral | Two lesions; CWM and internal capsule | 8.4 | Multiple sclerosis |
16.3 | Male | monosymptomatic | Unilateral | Multiple lesions; PVPOL, SCWM, CC | 0.7 | Multiple sclerosis |
16.9 | Female | monosymptomatic | Bilateral | Multiple lesions; PVPOL, BS, CC, CBL, CWM | 2.1 | Multiple sclerosis |
12.9 | Female | monosymptomatic | Bilateral | Two lesions; Bilateral thalami (DGM) | 2.3 | Monophasic optic neuritis |
9.1 | Female | polysymptomatic | Bilateral | Multiple lesions of SCWM, CWM, DGM and BS | 6.5 | ADEM* |
5.8 | Male | polysymptomatic | Unilateral | Multiple lesions of SCWM, CWM, DGM | 11.2 | ADEM* |
7.1 | Male | polysymptomatic | Unilateral | Multiple lesions of CWM, CBL, CC | 6.0 | ADEM* |
8.7 | Female | polysymptomatic | Unilateral | Multiple lesions of CWM, SCWM, CBL | 3.9 | ADEM* |
5.9 | Male | Polysymptomatic Only child with encephalopathy | Unilateral | Bilateral diffuse lesion of posterior white matter | 0.7 | ADEM |
12.0 | Female | polysymptomatic | Unilateral | Single enhancing lesion of CBL | 3.3 | ADEM* |
ADEM: acute disseminated encephalomyelitis, MRI: magnetic resonance imaging, CBL: cerebellum, CC: corpus callosum, CWM, central white matter, SCWM: subcortical white matter, BS: brainstem, DGM: deep gray matter, PVPOL: periventricular perpendicular ovoid lesion.
Because of the absence of encephalopathy, these patients are considered clinically isolated syndrome when pediatric consensus definitions are applied 7.