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bilateral_optic_atrophy [2023/10/26 21:38] Scott Larsonbilateral_optic_atrophy [2025/05/30 18:39] (current) Scott Larson
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-====== Optic Atrophy in Children ======+====== Optic Atrophy in Children ======
  
 ====Causes==== ====Causes====
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     * CSNB     * CSNB
     * Leber congenital amaurosis     * Leber congenital amaurosis
-    * Stargart disease+    * [[stargardt_disease|Stargardt disease]]- late finding
     * X-linked retinoschisis     * X-linked retinoschisis
     * [[incontientia_pigmenti|Incontientia pigmenti]]     * [[incontientia_pigmenti|Incontientia pigmenti]]
   * Brain malformation/injury/infection/degeneration   * Brain malformation/injury/infection/degeneration
     * Optic neuritis     * Optic neuritis
 +      * Neuromyelitis optica 
     * Brain Tumor     * Brain Tumor
       * especially suprasellar tumors       * especially suprasellar tumors
 +    * Intraventricular hemorrhage
     * Dandy Walker     * Dandy Walker
     * Congenital Hydrocephalus     * Congenital Hydrocephalus
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       * Periventricular leukomalacia        * Periventricular leukomalacia 
     * Meningitis     * Meningitis
-    * Batten Disease+    * [[batten_disease|Batten Disease]]
     * Zellweger spectrum (peroxisomal disorder)     * Zellweger spectrum (peroxisomal disorder)
     * Charcot-Marie-Tootl     * Charcot-Marie-Tootl
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   * Toxic/Metabolic   * Toxic/Metabolic
     * Anemia     * Anemia
-    * Lead poisoning (or other heavy metals) +    * Lead poisoning (or other heavy metals; arsenic, mercury
-    * B12 deficiency +    * B12 deficiency 
 +    * Vitamin D Deficiency (Rickets)
 ==== Suggested Initial Evaluation ==== ==== Suggested Initial Evaluation ====
     * Ask about History of Prematurity, Trauma, Neurological decline or seizure, birth history, Post natal growth and development     * Ask about History of Prematurity, Trauma, Neurological decline or seizure, birth history, Post natal growth and development