A 30-year-old woman with known relapsing-remitting multiple sclerosis presents with unilateral visual loss and pain on eye movement consistent with op...

Question

A 30-year-old woman with known relapsing-remitting multiple sclerosis presents with unilateral visual loss and pain on eye movement consistent with optic neuritis. MRI shows an enhancing lesion in the optic nerve. What is the most appropriate acute treatment?

Accepted Answer

High-dose intravenous methylprednisolone for 3-5 days

Answer

Oral prednisone 5 mg daily for several weeks

Answer

Start disease-modifying therapy only, without steroids

Answer

No treatment; the relapse will resolve spontaneously

Answer

Long-term azathioprine monotherapy as first-line

au-amc MCQ (SBA): Multiple sclerosis relapse

A 30-year-old woman with known relapsing-remitting multiple sclerosis presents with unilateral visual loss and pain on eye movement consistent with optic neuritis. MRI shows an enhancing lesion in the optic nerve. What is the most appropriate acute treatment?