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Archives de pédiatrie
Volume 12, n° 3
pages 278-280 (mars 2005)
Doi : 10.1016/j.arcped.2004.11.005
Received : 8 April 2004 ;  accepted : 5 November 2004
Névrite optique rétrobulbaire et varicelle chez un enfant
Retrobulbar optic nevritis and chicken pox: a case report in a child

V. Roelandt a, L. Fayol b, C. Hugonenq a, J. Mancini a, B. Chabrol a,
a Service de neurologie pédiatrique 
b Département de néonatologie, hôpital d'enfants, CHU de la Timone, 13385 Marseille, cedex 05, France 

*Auteur correspondant.

Nous rapportons le cas d'un enfant de trois ans présentant une névrite optique rétrobulbaire au cours de la phase invasive d'une varicelle. Ce tableau clinique, peu fréquent, peut être dû à une atteinte directe du virus ou être secondaire à un mécanisme auto-immun. L'examen du fond de l'oeil, le profil du liquide céphalorachidien, l'imagerie par résonance magnétique et la mesure des potentiels évoqués visuels permettent de poser le diagnostic et d'identifier le type d'atteinte. Il n'existe pas de consensus sur le traitement de ces névrites optiques rétrobulbaires et l'attitude actuelle est l'abstention thérapeutique en raison d'une amélioration spontanément rapide. Cérébellites, méningites peuvent aussi se rencontrer lors d'une varicelle. Leur évolution est rapidement favorable, ne nécessitant pas d'examen complémentaire. Les encéphalites peuvent résulter d'une atteinte auto-immune de la substance blanche et nécessitent alors l'usage des corticoïdes sous couverture antivirale.

The full text of this article is available in PDF format.

We report here the case of a three-year-old boy presenting with an optic neuritis during the invasive phase of a chicken pox. This clinical, infrequent picture, can be directly due to the virus or be secondary to an auto-immune mechanism. The examination of the ocular fundus, the profile of the spinal fluid, the MRI and the measure of visual evoked potential allow to reach diagnosis and to identify the type of lesion. There is no consensus on the treatment of this optic neuritis and the current attitude is therapeutic abstention because of a rapid spontaneous improvement. Cerebellitis, meningitis can also be seen during chicken pox. Their evolution is quickly favorable, not requiring additional exam. Encephalitis can result from an auto-immune lesion of the white matter and require then the use of corticoids with antiviral drugs.

The full text of this article is available in PDF format.

Mots clés : Varicelle, Névrite optique rétrobulbaire, Cérébellite

Keywords : Chicken pox, complications, Optic neuritis, Central nervous system viral diseases, Child

© 2004  Elsevier SAS. All Rights Reserved.
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