Waiting to deliver a final diagnosis

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

We report a patient with left eye positional transient visual obscurations, diplopia, a left afferent pupillary defect, and optic disk edema—all occurring during pregnancy. Noncontrast magnetic resonance imaging revealed an orbital mass encasing the optic nerve and extending through the superior orbital fissure into the cavernous sinus. An magnetic resonance imaging with gadolinium after parturition and strongly positive somatostatin receptor scintigraphy suggested the diagnosis of meningioma. Biopsy confirmed the diagnosis, and she was treated with CyberKnife stereotactic radiosurgery. In cases of atypical presentation, somatostatin receptor scintigraphy can help distinguish optic nerve sheath meningioma from alternative orbital masses.

Original languageEnglish (US)
Pages (from-to)583-586
Number of pages4
JournalSurvey of Ophthalmology
Volume62
Issue number4
DOIs
StatePublished - Jul 1 2017

Fingerprint

Somatostatin Receptors
Radiosurgery
Meningioma
Optic Nerve
Radionuclide Imaging
Magnetic Resonance Imaging
Pupil Disorders
Cavernous Sinus
Diplopia
Optic Disk
Gadolinium
Parturition
Biopsy
Pregnancy

Keywords

  • optic nerve sheath meningioma
  • orbit meningioma
  • orbital tumor
  • somatostatin receptor scintigraphy

PubMed: MeSH publication types

  • Case Reports
  • Journal Article

Cite this

Waiting to deliver a final diagnosis. / Mokhtarzadeh, Ali; Maltry, Amy; McClelland, Collin.

In: Survey of Ophthalmology, Vol. 62, No. 4, 01.07.2017, p. 583-586.

Research output: Contribution to journalArticle

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