Bilateral acute macular neuroretinopathy after Epstein-Barr virus encephalitis

Q3 Medicine

American Journal of Ophthalmology Case Reports Pub Date : 2025-09-02 DOI:10.1016/j.ajoc.2025.102418

Daniella Socci da Costa , Raul N.G. Vianna , Remo Turchetti Moraes , Gilberto dos Passos Junior , Aluisio Rosa Gameiro Filho

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引用次数: 0

Abstract

Purpose

To report a case of a 11-year-old girl, who developed a bilateral acute macular neuroretinopathy (AMN) after Epstein-Barr virus (EBV) encephalitis.

Observations

Clinical findings and multimodal imaging including fundus photography, near-infrared reflectance, spectral-domain, and enhanced-deep imaging optical coherence tomography (OCT) of a patient with bilateral acute macular neuroretinopathy after Epstein-Barr virus encephalitis.

Conclusions and importance

After conducting a literature review in August 2024 using PubMed and Google Scholar, using the keywords “acute macular neuroretinopathy”, “AMN”, “Epstein-Barr”, “Epstein-Barr virus”, “EBV”, “encephalitis” “Epstein-Barr encephalitis” “EBV encephalitis” we did not find any previous reports of AMN associated with EBV encephalitis, such as in our case. Near infrared imaging and spectral-domain optical coherence tomography are key diagnostic tools for this condition, even when fundoscopic findings are subtle.

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eb病毒脑炎后的双侧急性黄斑神经视网膜病变

目的报告1例11岁女童感染eb病毒脑炎后出现双侧急性黄斑神经视网膜病变（AMN）的病例。观察1例eb病毒脑炎后双侧急性黄斑神经视网膜病变患者的临床表现和多模态成像，包括眼底摄影、近红外反射、光谱域和增强深度成像光学相干断层扫描（OCT）。结论及重要性：我们于2024年8月在PubMed和谷歌Scholar上进行了一项文献综述，关键词为“急性黄斑神经视网膜病变”、“AMN”、“Epstein-Barr”、“Epstein-Barr病毒”、“EBV”、“脑炎”、“Epstein-Barr脑炎”、“EBV脑炎”，我们没有发现以往任何与EBV脑炎相关的AMN报告，如我们的病例。近红外成像和光谱域光学相干断层扫描是诊断这种疾病的关键工具，即使眼底检查结果很微妙。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

American Journal of Ophthalmology Case Reports Medicine-Ophthalmology

CiteScore

2.40

自引率

0.00%

发文量

513

审稿时长

16 weeks

期刊介绍： The American Journal of Ophthalmology Case Reports is a peer-reviewed, scientific publication that welcomes the submission of original, previously unpublished case report manuscripts directed to ophthalmologists and visual science specialists. The cases shall be challenging and stimulating but shall also be presented in an educational format to engage the readers as if they are working alongside with the caring clinician scientists to manage the patients. Submissions shall be clear, concise, and well-documented reports. Brief reports and case series submissions on specific themes are also very welcome.