A 32-year-old woman with relapsing-remitting multiple sclerosis develops painful monocular visual loss over 48 hours. MRI shows enhancing optic nerve

Question

A 32-year-old woman with relapsing-remitting multiple sclerosis develops painful monocular visual loss over 48 hours. MRI shows enhancing optic nerve inflammation and no infection is present. Symptoms impair work and driving. What is the most appropriate management?

Accepted Answer

High-dose corticosteroids for acute relapse

Answer

Oral antibiotics for presumed cellulitis

Answer

Immediate neurosurgical decompression

Answer

Start chronic opioid therapy

Answer

No treatment because recovery can occur

Multiple sclerosis relapse — RCPSC IM MCQ

A 32-year-old woman with relapsing-remitting multiple sclerosis develops painful monocular visual loss over 48 hours. MRI shows enhancing optic nerve inflammation and no infection is present. Symptoms impair work and driving. What is the most appropriate management?