A 31 year old married male came today with a 2 month history of acute weakness in all extremities associated with paresthesia and dysesthesia. 1week ago, he suffered vision loss in the right eye and mild ocular pain. 3 days before he developed bladder dysfunction. No history of fever, headache, altered sensorium, seizures. He is a driver by occupation. Given your opinion on the Fundal images.

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Primary optic atrophy.. History suggestive of demylination. Might be MS
The history & signs & symptoms r suggestive of classical neuromyelitis optica.
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Signs and symptoms of MS . With optic neuritis leading to optic atrophy
Mam its Neuromyelitis optica
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Primary optic atrophy . clinical scenario s/o- multiple sclerosis)
Its Neuromyelitis optica
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Primary optic atrophy. Is there any history of drinking habit?
Its Neuromyelitis optica
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Neuromyelitis optica ( Devic's disease ).
Its Neuromyelitis optica
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MS Devics disease
diagnosis of the case is Neuromyelitis optica
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Multiple sclerosis — Causing optic atrophy and wide spread neuromylitic canges causing parasthesia anddysesthesia and bladder dysfuntion . Fundus picture is typical of neuromyelitis optica
Appears to be primary optic atrophy, should go for ct scan. Has he suffered intermittent diminution of vision before??? Does he take any drug???
Final diagnosis is Neuromyelitis optica
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Fundus shows total optic disc pallor, may be due to multiple sclerosis or other neurological involvement. Need to take Neurophysician opinion
Could be a case of toxic retrobulbar neuritis due to methyl alcohol in country liquor which drivers are often addicted to
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