Identifier |
EEC_Neurosarcoidosis_NOVEL |
Title |
Optic Nerve Head Granuloma from Sarcoidosis |
Creator |
Nithya Shanmugam; Valerie Biousse |
Affiliation |
(NS) (VB) Emory Eye Center, Emory University |
Subject |
Granuloma; Neurosarcoidosis; Non-caseating; Optic Disc Edema; Optic Nerve Edema; Optic Nerve Elevation; Sarcoidosis |
Description |
We present a case of optic neuropathy with optic nerve head granuloma as the presenting sign of neurosarcoidosis. Initial patient presentation was notable for a chronic cough and worsening of vision in the left eye. Subsequent imaging revealed multiple brain lesions and the presence of a subcarinal lymph node measuring 2.9cm by 3.9cm, found to be negative for malignancy and positive for non-necrotizing granulomas. Fundus photography and optical coherence tomography revealed an optic nerve head granuloma and elevation of the optic nerve head. |
Date |
2024-04 |
References |
Sibony PA, Kupersmith MJ; OCT Substudy Group of the NORDIC Idiopathic Intracranial Hypertension Treatment Trial. "Paton's Folds" Revisited: Peripapillary Wrinkles, Folds, and Creases in Papilledema. Ophthalmology. 2016 Jun;123(6):1397-9. doi: 10.1016/j.ophtha.2015.12.017. Epub 2016 Jan 14. PMID: 26778344; PMCID: PMC4877233. Fritz, D., van de Beek, D. & Brouwer, M.C. Clinical features, treatment and outcome in neurosarcoidosis: systematic review and meta-analysis. BMC Neurol 16, 220 (2016). https://doi.org/10.1186/s12883-016-0741-x. Pasadhika S, Rosenbaum JT. Ocular Sarcoidosis. Clin Chest Med. 2015 Dec;36(4):669-83. doi: 10.1016/j.ccm.2015.08.009. PMID: 26593141; PMCID: PMC4662043. |
Language |
eng |
Format |
application/pdf |
Format Creation |
Microsoft PowerPoint |
Type |
Text |
Collection |
Neuro-Ophthalmology Virtual Education Library: The Emory Eye Center Collection: https://novel.utah.edu/eec/ |
Publisher |
North American Neuro-Ophthalmology Society |
Holding Institution |
Spencer S. Eccles Health Sciences Library, University of Utah |
Rights Management |
Copyright 2024. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright |
ARK |
ark:/87278/s6bhed24 |
Setname |
ehsl_novel_eec |
ID |
2483659 |
Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6bhed24 |