Bilateral optic disk edema caused by sarcoidosis mimicking pseudotumor cerebri

Ron W. Pelton; Andrew G. Lee; Silivia D. Orengo-Nania; James R. Patrinely

doi:10.1016/S0002-9394(98)00351-1

Bilateral optic disk edema caused by sarcoidosis mimicking pseudotumor cerebri

Ron W. Pelton, Andrew G. Lee, Silivia D. Orengo-Nania, James R. Patrinely

Research output: Contribution to journal › Article › peer-review

26 Scopus citations

Abstract

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.

Original language	English (US)
Pages (from-to)	229-230
Number of pages	2
Journal	American Journal of Ophthalmology
Volume	127
Issue number	2
DOIs	https://doi.org/10.1016/S0002-9394(98)00351-1
State	Published - Feb 1999

ASJC Scopus subject areas

Ophthalmology

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@article{30b276a035a543999be1d49aefd156c2,

title = "Bilateral optic disk edema caused by sarcoidosis mimicking pseudotumor cerebri",

abstract = "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.",

author = "Pelton, \{Ron W.\} and Lee, \{Andrew G.\} and Orengo-Nania, \{Silivia D.\} and Patrinely, \{James R.\}",

note = "Funding Information: This work was supported in part by a grant to Baylor College of Medicine from Research to Prevent Blindness, Inc, New York, New York. Copyright: Copyright 2017 Elsevier B.V., All rights reserved.",

year = "1999",

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doi = "10.1016/S0002-9394(98)00351-1",

language = "English (US)",

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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.

N1 - Funding Information: This work was supported in part by a grant to Baylor College of Medicine from Research to Prevent Blindness, Inc, New York, New York. Copyright: Copyright 2017 Elsevier B.V., All rights reserved.

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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Bilateral optic disk edema caused by sarcoidosis mimicking pseudotumor cerebri

Abstract

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