Optic Nerve Head Granuloma from Sarcoidosis

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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 Neuro-Ophthalmology Collection: https://novel.utah.edu/eec/
Publisher North American Neuro-Ophthalmology Society
Holding Institution Spencer S. Eccles Health Sciences Library, University of Utah, 10 N 1900 E SLC, UT 84112-5890
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
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