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Eye problems in children with multiple sclerosis

M I Steinlin1, S I Blaser, D L MacGregor

  • 1Department of Paediatrics, Hospital for Sick Children, Toronto, Ontario, Canada.

Pediatric Neurology
|April 1, 1995
PubMed
Summary
This summary is machine-generated.

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Ophthalmologic symptoms are common in children with multiple sclerosis (MS). Early investigation of these eye issues is crucial for diagnosing pediatric MS, as symptoms like optic neuritis often present initially.

Area of Science:

  • Neurology
  • Ophthalmology

Background:

  • Pediatric multiple sclerosis (MS) diagnosis can be challenging.
  • Ophthalmologic manifestations are key indicators in pediatric MS.

Purpose of the Study:

  • To evaluate the frequency and types of eye symptoms in children diagnosed with definite or probable multiple sclerosis (MS).
  • To determine the diagnostic significance of ophthalmologic symptoms in pediatric MS.

Main Methods:

  • Retrospective review of 17 children with definite MS and 15 with probable MS over 18 years.
  • Analysis of ophthalmologic symptoms, including initial presentation and specific conditions like optic neuritis and brainstem/cerebellar signs.

Main Results:

  • 94% of children with definite MS experienced eye symptoms, with 47% presenting with initial vision disturbance.

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  • Optic neuritis was the most common finding, followed by brainstem and cerebellar signs.
  • Ophthalmologic symptoms were slightly more frequent in pediatric MS patients compared to adults.

    • Conclusions:

    • Eye symptoms are highly prevalent in children with multiple sclerosis.
    • Specific ophthalmologic investigations are essential for the diagnosis of pediatric MS.