RT Journal
A1 Klein JP, Cohen AB, Kimberly W, et al
T1 DIffusion-weighted magnetic resonance imaging of bilateral simultaneous optic nerve infarctions
JF Archives of Neurology
JO Archives of Neurology
YR 2009
FD January 1
VO 66
IS 1
SP 132
OP 133
DO 10.1001/archneurol.2008.523
UL http://dx.doi.org/10.1001/archneurol.2008.523
AB 
On examination, his blood pressure was elevated. There was no cranial artery tenderness. He was alert with intact language and memory. Visual acuity was light perception OU. Both pupils were 4 mm and nonreactive to light. Eye movements were normal, and corneal reflexes were intact and symmetric. Funduscopic examination showed bilateral optic nerve head edema with right optic nerve sectoral pallor and a left macular infarction (Figure, A and B). The remainder of the neurological examination was normal. Magnetic resonance imaging showed restricted diffusion (Figure, C and D) with a reduced apparent diffusion coefficient signal (not shown) within the left intraorbital optic nerve and at the right anterior optic nerve. The platelet count was 1134/μL, the erythrocyte sedimentation rate was 40 mm/h, and the C-reactive protein level was 17.7 mg/L (to convert to nanomoles per liter, multiply by 9.524).