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Congress: ECR25
Poster Number: C-12224
Type: Poster: EPOS Radiologist (educational)
DOI: 10.26044/ecr2025/C-12224
Authorblock: M. H. Carmo1, A. L. A. Da Silva1, T. Araujo Rodrigues1, K. Yumi Hayama1, C. T. J. Silva2, J. R. Fonseca2, A. M. B. Wolosker2, H. Yamashita2; 1SAO PAULO/BR, 2São Paulo/BR
Disclosures:
Mariana Helena Carmo: Nothing to disclose
Ana Lara Almeida Da Silva: Nothing to disclose
Thaina Araujo Rodrigues: Nothing to disclose
Karina Yumi Hayama: Nothing to disclose
Camila Tavares Joau Silva: Nothing to disclose
Jose Roberto Fonseca: Nothing to disclose
Angela Maria Borri Wolosker: Nothing to disclose
Helio Yamashita: Nothing to disclose
Keywords: CNS, Eyes, Head and neck, MR, Education, Inflammation
Learning objectives Identify and revisiting MRI findings that aid in diagnosing Vogt-Koyanagi-Harada (VKH) syndrome.Establish a correlation between the new diagnostic criteria and MRI findings and emphasize the importance of recognizing the similarities in differential diagnoses.
Read more Background The clinical features and disease course of VKH syndrome are well documented. The ultimate revised diagnostic criteria were published in 2022, classifying VKH according to the clinical and ophthalmologic exams, and simplifying diagnostic criteria for acute initial-onset VKH, in which bilateral disease and diffuse choroiditis on EDI-OCT are requirements for the diagnosis of VKH. No alternative methods were provided to confirm bilateral vitritis without those exams. Additional necessary criteria include the absence of prior ocular trauma or surgery, bilateral involvement,...
Read more Findings and procedure details Vogt-Koyanagi-Harada syndrome is a rare progressive inflammatory condition of uncertain etiology that affects melanin-containing tissues. Diagnosing this condition is challenging due to a broad differential including infectious and noninfectious causes of uveitis and the lack of a single diagnostic finding on examination, testing, or imaging.VKH It is characterized primarily by chronic bilateral panuveitis, hearing loss, poliosis, vitiligo, and alopecia. The most commonly used imaging test is optical coherence tomography (OCT), but MRI is useful not only for detecting choroidal lesions,...
Read more Conclusion Our findings highlight the potential benefits of MRI in identifying key features for diagnosing Vogt-Koyanagi-Harada syndrome. These insights are valuable for clinical decision-making, offering critical information to personalize treatment and guide patient management effectively.
Read more References 1.Choo CH, Acharya NR, Shantha JG. Comprehensive and updated review on the diagnosis and treatment of Vogt-Koyanagi-Harada disease. Ann Eye Sci. June 2023;8:4–4. 2.Kurokawa R, Kurokawa M, Isshiki S, Harada T, Nakaya M, Baba A, et al. Dural and Leptomeningeal Diseases: Anatomy, Causes, and Neuroimaging Findings. RadioGraphics. Aug 2023;43(9):e230039. 3.Hida K, Takano K, Yoshimitsu K, Fukae J, Hokao K. Inner ear enhancement on gadolinium-enhanced 3D FLAIR images in a patient with Vogt–Koyanagi–Harada disease. BJR|case reports. March, 2017;3(1):20160090. 4. O’Keefe GAD. Update on the diagnosis...
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