Abstract:
:Three patients presented with unilateral progressive optic neuropathy. None of these patients had signs of symptoms referable to the chiasm or eye, thus confining their decline in vision to the optic nerve. Clinical and neuroradiographic evidence suggested a meningioma involving the optic nerve at the orbital-canalicular junction in one patient and the intracranial optic nerve in another patient. Surgical exploration in both patients, however, revealed a noncaseating granuloma. Decline in vision from granulomatous invasion of the retrobulbar optic nerve is an uncommon manifestation of sarcoidosis. Review of our patients' findings suggests that a nonsurgical diagnosis of sarcoid optic neuropathy may have been tenable.
journal_name
Neurologyjournal_title
Neurologyauthors
Gudeman SK,Selhorst JB,Susac JO,Waybright EAdoi
10.1212/wnl.32.6.597subject
Has Abstractpub_date
1982-06-01 00:00:00pages
597-603issue
6eissn
0028-3878issn
1526-632Xjournal_volume
32pub_type
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