Giant Cell Arteritis Presenting as Unilateral Anterior Ischemic Optic Neuropathy Associated With Bilateral Optic Nerve Sheath Enhancement on Magnetic Resonance Imaging

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Title Giant Cell Arteritis Presenting as Unilateral Anterior Ischemic Optic Neuropathy Associated With Bilateral Optic Nerve Sheath Enhancement on Magnetic Resonance Imaging
Creator Liu, Tin Yan A; Miller, Neil R
Affiliation Departments of Ophthalmology (PL, LBDL, JDT), Neurology (LBDL, JDT), and Radiology (Neuroradiology) (AS), Kellogg Eye Center, University of Michigan
Subject Aged; 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
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.
OCR Text Show
Publisher Lippincott, Williams & Wilkins
Date 2015-12
Type Text
Language eng
Rights Management © North American Neuro-Ophthalmology Society
Publication Type Journal Article
ARK ark:/87278/s6zd1xct
Setname ehsl_novel_jno
Date Created 2017-09-14
Date Modified 2017-09-14
ID 1276422
Reference URL https://collections.lib.utah.edu/ark:/87278/s6zd1xct
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