Based upon the previous results, an MRI of the brain was recommended. The MRI revealed numerous white signal abnormalities in the periventricular and juxtacortical white matter consistent with demyelination and multiple sclerosis. The patient has now obtained consultation with two neurologists and various treatment options are presently being considered.
Although a RAPD was not observed clinically, the GCC revealed loss of ganglion cells in the right eye within one month of visual symptoms in the right eye. The VEP was quite delayed in the right eye in spite of normal visual fields and normal pupils. Similarly, the RAPDx was grossly abnormal in the right eye in spite of the normal pupils observed clinically.