TY - JOUR
T1 - Bilateral optic disk edema caused by sarcoidosis mimicking pseudotumor cerebri
AU - Pelton, Ron W.
AU - Lee, Andrew G.
AU - Orengo-Nania, Silivia D.
AU - Patrinely, James R.
PY - 1999/2
Y1 - 1999/2
N2 - PURPOSE: To present a case of retrobulbar optic nerve and chiasm sarcoidosis that mimicked pseudotumor cerebri. METHODS: A 34-year-old, thin, black woman presented with transient visual obscurations, normal visual acuity, bilateral optic disk edema, and enlarged blind spots. Clinical, medical, and radiologic evaluations were consistent with pseudotumor cerebri. The patient improved while taking acetazolamide, but 6 months later her symptoms worsened. Neuroimaging disclosed enhancement of the optic nerve and chiasm. RESULTS: Despite administration of intravenous corticosteroids, the patient's vision Worsened. Bilateral optic nerve sheath fenestrations were performed, and pathology disclosed sarcoidosis. CONCLUSION: Sarcoidosis of the optic nerves and chiasm may mimic pseudotumor cerebri.
AB - PURPOSE: To present a case of retrobulbar optic nerve and chiasm sarcoidosis that mimicked pseudotumor cerebri. METHODS: A 34-year-old, thin, black woman presented with transient visual obscurations, normal visual acuity, bilateral optic disk edema, and enlarged blind spots. Clinical, medical, and radiologic evaluations were consistent with pseudotumor cerebri. The patient improved while taking acetazolamide, but 6 months later her symptoms worsened. Neuroimaging disclosed enhancement of the optic nerve and chiasm. RESULTS: Despite administration of intravenous corticosteroids, the patient's vision Worsened. Bilateral optic nerve sheath fenestrations were performed, and pathology disclosed sarcoidosis. CONCLUSION: Sarcoidosis of the optic nerves and chiasm may mimic pseudotumor cerebri.
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U2 - 10.1016/S0002-9394(98)00351-1
DO - 10.1016/S0002-9394(98)00351-1
M3 - Article
C2 - 10030579
AN - SCOPUS:0033003927
SN - 0002-9394
VL - 127
SP - 229
EP - 230
JO - American journal of ophthalmology
JF - American journal of ophthalmology
IS - 2
ER -