Progressive outer retinal necrosis in a multiple sclerosis patient on natalizumabAuthor Response

Editors' Note: Commenting on the “Progressive outer retinal necrosis in a multiple sclerosis patient on natalizumab” Neuro Image , Bourre et al. share their experience with a patient who developed a monocular diffuse necrotizing varicella-zoster virus retinitis while on natalizumab. Patel et al., authors of the Neuro Image , respond, and further discuss the theory of ocular immune privilege. Chaturvedi et al. and Munster et al. agree that modern trials are needed to compare intensive medical therapy (IMT) alone vs IMT plus carotid endarterectomy in patients with asymptomatic carotid stenosis. Furthermore, Chaturvedi et al. alert neurologists and others involved in the care of patients with carotid disease in North America that …