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Published in: International Ophthalmology 6/2013

01-12-2013 | Original Paper

Bilateral paediatric optic neuropathy precipitated by vitamin B12 deficiency and a novel mitochondrial DNA mutation

Authors: Assad Jalil, Hasan Anzar Usmani, Muhammad Irfan Khan, Emma L. Blakely, Robert W. Taylor, Grace Vassallo, Jane Ashworth

Published in: International Ophthalmology | Issue 6/2013

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Abstract

We present an 11-year-old girl with sudden, severe, sequential optic neuropathy. Investigations revealed severe vitamin B12 deficiency, and identified a novel mitochondrial ND5 variant. She was treated with steroids followed by plasma exchange, but the vision continued to deteriorate to eventual bilateral blindness over the next few months. Vitamin B12 deficiency can rarely cause severe irreversible visual loss secondary to optic neuropathy. The significance of the concurrent mitochondrial ND5 variant remains undetermined.
Literature
1.
go back to reference Holder GE, Robson AG, Hogg CR, Kurz-Levin M, Lois N, Bird AC (2003) Pattern ERG: clinical overview, and some observations on associated fundus autofluorescence imaging in inherited maculopathy. Doc Ophthalmol 106(1):17–23PubMedCrossRef Holder GE, Robson AG, Hogg CR, Kurz-Levin M, Lois N, Bird AC (2003) Pattern ERG: clinical overview, and some observations on associated fundus autofluorescence imaging in inherited maculopathy. Doc Ophthalmol 106(1):17–23PubMedCrossRef
2.
go back to reference Brady KM, Brar AS, Lee AG, Coats DK, Paysse EA, Steinkuller PG (1999) Optic neuritis in children: clinical features and visual outcome. J AAPOS 3:98–103PubMedCrossRef Brady KM, Brar AS, Lee AG, Coats DK, Paysse EA, Steinkuller PG (1999) Optic neuritis in children: clinical features and visual outcome. J AAPOS 3:98–103PubMedCrossRef
3.
go back to reference Stambolian D, Behrens M (1977) Optic neuropathy associated with vitamin B12 deficiency. Am J Ophthalmol 83:465PubMed Stambolian D, Behrens M (1977) Optic neuropathy associated with vitamin B12 deficiency. Am J Ophthalmol 83:465PubMed
4.
go back to reference Lerman S, Feldman AL (1961) Centrocecal scotomata as the presenting sign in pernicious anemia. Arch Ophthalmol 65:381–385PubMedCrossRef Lerman S, Feldman AL (1961) Centrocecal scotomata as the presenting sign in pernicious anemia. Arch Ophthalmol 65:381–385PubMedCrossRef
6.
go back to reference Barboni P, Savini G, Valentino ML, La Morgia C, Bellusci C, De Negri AM, Sadun F, Carta A, Carbonelli M, Sadun AA, Carelli V (2006) Leber’s hereditary optic neuropathy with childhood onset. Invest Ophthalmol Vis Sci 47(12):5303–5309PubMedCrossRef Barboni P, Savini G, Valentino ML, La Morgia C, Bellusci C, De Negri AM, Sadun F, Carta A, Carbonelli M, Sadun AA, Carelli V (2006) Leber’s hereditary optic neuropathy with childhood onset. Invest Ophthalmol Vis Sci 47(12):5303–5309PubMedCrossRef
7.
go back to reference Mackey DA, Oostra R-J, Rosenberg T et al (1996) Primary pathogenic mtDNA mutations in multigeneration pedigrees with Leber hereditary optic neuropathy. Am J Hum Genet 59:481–485PubMed Mackey DA, Oostra R-J, Rosenberg T et al (1996) Primary pathogenic mtDNA mutations in multigeneration pedigrees with Leber hereditary optic neuropathy. Am J Hum Genet 59:481–485PubMed
8.
go back to reference Carelli V, Ross-Cisneros FN, Sadun AA (2004) Mitochondrial dysfunction as a cause of optic neuropathies. Prog Retin Eye Res 23(1):53–89PubMedCrossRef Carelli V, Ross-Cisneros FN, Sadun AA (2004) Mitochondrial dysfunction as a cause of optic neuropathies. Prog Retin Eye Res 23(1):53–89PubMedCrossRef
9.
go back to reference Li JM, Rucker JC (2010) Irreversible optic neuropathy in wernicke encephalopathy and Leber hereditary optic neuropathy. J Neuroophthalmol 30:49–53PubMedCrossRef Li JM, Rucker JC (2010) Irreversible optic neuropathy in wernicke encephalopathy and Leber hereditary optic neuropathy. J Neuroophthalmol 30:49–53PubMedCrossRef
10.
go back to reference Seo JH, Hwang JM, Park SS (2010) Antituberculosis medication as a possible epigenetic factor of Leber’s hereditary optic neuropathy. Clin Exp Ophthalmol 38:363–366CrossRef Seo JH, Hwang JM, Park SS (2010) Antituberculosis medication as a possible epigenetic factor of Leber’s hereditary optic neuropathy. Clin Exp Ophthalmol 38:363–366CrossRef
11.
go back to reference Pott JW, Wong KH (2006) Leber’s hereditary optic neuropathy and vitamin B12 deficiency. Graefes Arch Clin Exp Ophthalmol 244:1357–1359PubMedCrossRef Pott JW, Wong KH (2006) Leber’s hereditary optic neuropathy and vitamin B12 deficiency. Graefes Arch Clin Exp Ophthalmol 244:1357–1359PubMedCrossRef
12.
go back to reference Santiesteban-Freixas R, Mendoza-Santiesteban CE, Columbie-Garbey Y, Quevedo AG, Garcia AG, Rodríguez RC (2010) Cuban epidemic optic neuropathy and its relationship to toxic and hereditary optic neuropathy. Semin Ophthalmol 25:112–122PubMedCrossRef Santiesteban-Freixas R, Mendoza-Santiesteban CE, Columbie-Garbey Y, Quevedo AG, Garcia AG, Rodríguez RC (2010) Cuban epidemic optic neuropathy and its relationship to toxic and hereditary optic neuropathy. Semin Ophthalmol 25:112–122PubMedCrossRef
Metadata
Title
Bilateral paediatric optic neuropathy precipitated by vitamin B12 deficiency and a novel mitochondrial DNA mutation
Authors
Assad Jalil
Hasan Anzar Usmani
Muhammad Irfan Khan
Emma L. Blakely
Robert W. Taylor
Grace Vassallo
Jane Ashworth
Publication date
01-12-2013
Publisher
Springer Netherlands
Published in
International Ophthalmology / Issue 6/2013
Print ISSN: 0165-5701
Electronic ISSN: 1573-2630
DOI
https://doi.org/10.1007/s10792-013-9773-z

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