Here is My Question:
Hi, I'm a 23 year old male and have left side optic neuritis, a lot of plaques at periventicular and central semioval and juxta cortical areas on MRI, 3 enhanced lesions. This is my first attack, please tell me the next step after corticosteroid pulse therapy.
You should see a neurologist who specializes in treating multiple sclerosis. Optic neuritis is frequently due to MS and the MRI findings you describe sound suggestive of MS but you need an neurologist with expertise in MS to confirm that diagnosis. If that diagnosis is confirmed, the neurologist will most likely recommend starting treatment for MS (there many different medications now approved by the FDA for treatment of MS).
Benjamin Osborne, MD
Associate Professor of Neurology and Ophthalmology
Director, Neuromyelitis Optica (NMO) and Neuro-Ophthalmology Clinics
Associate Director of the NIH/Georgetown Neurology Residency Program
Medstar Georgetown University Hospital
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