Title |
Giant Cell Arteritis Presenting as Unilateral Anterior Ischemic Optic Neuropathy Associated With Bilateral Optic Nerve Sheath Enhancement on Magnetic Resonance Imaging |
Creator |
Tin Yan A. Liu, MD; Neil R. Miller, MD |
Affiliation |
Departments of Ophthalmology (PL, LBDL, JDT), Neurology (LBDL, JDT), and Radiology (Neuroradiology) (AS), Kellogg Eye Center, University of Michigan |
Abstract |
Paragangliomas that arise from the jugular bulb are known to present as masses in the neck or with hearing loss, pulsatile tinnitus, and lower cranial nerve palsies. Much less recognized is their tendency to cause increased intracranial pressure and papilledema by obstructing jugular venous outflow. Only 7 such cases have been reported and with minimal ophthalmic documentation. We describe 3 more cases to provide additional documentation and to emphasize that paragangliomas are a potential cause of the pseudotumor cerebri syndrome, and that papilledema may be overlooked when a jugular paraganglioma is diagnosed or after it has been treated. Such lapses have led to disabling vision loss from damage to the optic nerves in long-standing papilledema. |
Subject |
Older people; Blood Sedimentation; C-Reactive Protein; Fluorodeoxyglucose F18; Giant Cell Arteritis; Humans; Magnetic Resonance Imaging; Male; Myelin Sheath; Optic Nerve; Optic Nerve Diseases; Positron-Emission Tomography |
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/s6zd1xct |
Setname |
ehsl_novel_jno |
ID |
1276422 |
Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6zd1xct |