Corresponding Ganglion Cell Atrophy in Patients With Postgeniculate Homonymous Visual Field Loss

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Title Corresponding Ganglion Cell Atrophy in Patients With Postgeniculate Homonymous Visual Field Loss
Creator Jamie R. Mitchell, MD; Cristiano Oliveira, MD; Apostolos J. Tsiouris, MD; Marc J. Dinkin, MD
Affiliation Department of Ophthalmology, Wilmer Eye Institute, Johns Hopkins University, Baltimore, Maryland
Abstract A 67-year-old man developed jaw claudication followed by loss of vision in the left eye caused by anterior ischemic optic neuropathy (AION). An erythrocyte sedimentation rate was normal, but C-reactive protein was slightly elevated. Although the patient had no evidence of a right optic neuropathy, magnetic resonance imaging (MRI) revealed bilateral optic nerve sheath enhancement. A temporal artery biopsy was consistent with active giant cell arteritis (GCA). Our case demonstrates that bilateral optic nerve sheath enhancement on MRI can be seen in the setting of unilateral AION. This unique combination of clinical and imaging findings has not been reported previously and extends the clinical spectrum of presentation of GCA.
Subject Adult; Older people; Older people, 80 and over; Atrophy; Female; Hemianopsia; Humans; Longitudinal Studies; Magnetic Resonance Imaging; Male; Middle Older people; Nerve Fibers; Retinal Ganglion Cells; Retrospective Studies; Tomography, Optical Coherence; Visual Field Tests; Visual Pathways; Young Adult
OCR Text Show
Date 2015-12
Language eng
Format application/pdf
Type Text
Publication Type Journal Article
Collection Neuro-Ophthalmology Virtual Education Library: Journal of Neuro-Ophthalmology Archives: https://novel.utah.edu/jno/
Publisher Lippincott, Williams & Wilkins
Holding Institution Spencer S. Eccles Health Sciences Library, University of Utah
Rights Management © North American Neuro-Ophthalmology Society
ARK ark:/87278/s6352dv3
Setname ehsl_novel_jno
ID 1276421
Reference URL https://collections.lib.utah.edu/ark:/87278/s6352dv3
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