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Practice Current: How Do You Manage MOGAD?

Introduction




Practice Current features anonymous surveys intended to assess real-life practice patterns in scenarios where uncertainty exists. There are no right or wrong answers and we understand that extra-medical factors affect neurologic practice.

Please answer each question based on your REGULAR practice, and not your IDEAL practice. For example, if “option A” would be your ideal choice but you regularly do “option B” due to encountered barriers, then choose “option B”.

Estimated Time: 4 Minutes

Case. A 9-year-old male presents with worsening blurry vision in his left eye and headaches for the last week. Corrected visual acuity is 20/20 in the right eye and hand motion in the left eye. Ophthalmologic exam reveals marked left disc edema and a left relative afferent pupillary defect (RAPD). The remainder of the neurological examination is normal. Brain MRI of the orbit shows left optic nerve swelling with T2/FLAIR signal hyperintensity and contrast enhancement in the intraorbital segment. No brain lesions are seen. Basic CSF studies (opening and closing pressure, cell count, protein, glucose, viral panel and bacterial culture) are obtained.
1. Which of the following tests would you include as part of your initial? workup for this patient? Check all that apply or select "None of the above". *This question is required.
  • * This question is required.
What sample would you send to test for MOG-IgG antibodies? (Choose one)  *This question is required.
What additional infectious testing would you obtain? (Choose all that apply) *This question is required.
  • * This question is required.
What additional ophthalmologic testing would you obtain? (Choose all that apply) *This question is required.
  • * This question is required.