Idiopathic Inflammation of Optic Nerve Simulating Optic Nerve Sheath Meningioma

Zhang, Tieliang; Shao, Shifen; Zhang, Tao; Meng, Chong; Fei, Peifen; YuMin, Sun

doi:10.1097/00004728-198703000-00037

Cited by 15 publications

(9 citation statements)

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“…8 Perivascular lymphocytic infiltration of small optic nerve vessels (vasculitis) has been identified in some patients. 7,11 In most cases of suspected OPN, an optic nerve biopsy is not indicated. The diagnosis is typically based on a combination of clinical and radiographic findings.…”

Section: Commentmentioning

confidence: 99%

Optic Perineuritis

Purvin

Kawasaki²,

Jacobson³

2001

Arch Ophthalmol

191

107

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Background: Optic perineuritis is an uncommon variety of orbital inflammatory disease that is distinct from demyelinating optic neuritis.Objective: To describe the clinical and radiographic features of idiopathic optic perineuritis, with particular emphasis on those features that help to distinguish this condition from optic neuritis.Methods: We reviewed the medical records of 14 patients with optic perineuritis who were seen in 2 neuroophthalmology clinics.Results: Patients ranged in age from 24 to 60 years; 5 were older than 50 years. All patients had visual loss, eye pain, or both. The visual acuity was 20/20 or better in 8 of the 15 eyes. The results of visual field testing were nor-mal in 2 eyes, and a paracentral scotoma or an arcuate defect was seen in 7. Magnetic resonance imaging scans demonstrated circumferential enhancement around the optic nerve, sometimes with intraorbital extension. Response to corticosteroids was dramatic; however, 4 patients had a relapse with lowering of the dose. Conclusions:In contrast to those with optic neuritis, patients with optic perineuritis are often older at onset and are more likely to show sparing of central vision. Magnetic resonance imaging scans demonstrate enhancement around, rather than within, the optic nerve. Response to corticosteroids is more dramatic than in patients with optic neuritis, and patients are more likely to experience recurrence after stopping treatment.

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Section: Commentmentioning

confidence: 99%

Optic Perineuritis

Purvin

Kawasaki²,

Jacobson³

2001

Arch Ophthalmol

191

107

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“…There are few reports of neuroimaging studies in patients with neuroretinitis (3)(4)(5). In general, such studies are normal (6).…”

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Neuroretinitis With Retrobulbar Involvement

Vaphiades

Wigton

Ameri

et al. 2011

Journal of Neuro-Ophthalmology

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“…Two reports in the literature have presented similar cases of idiopathic optic perineuritis with unilateral disc edema and a macular star. 14,15 Zhang et al 14 reported a case involving enucleation because of pain and a concern for an optic nerve sheath meningioma; pathology demonstrated idiopathic optic perineuritis. Wals et al 15 described a patient with a macular star, disc edema, and optic perineuritis who improved without treatment to baseline vision in 11 months; they presented the case as simultaneous optic perineuritis and neuroretinitis.…”

Section: Diagnosis and Discussionmentioning

confidence: 99%

A 45-year-old man with unilateral optic disc edema and vision loss

Jastrzembski

Torun

2019

Digit J Ophthalmol

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A 45-year-old man was referred to Beth Israel Deaconess Medical Center for evaluation of decreased vision in his left eye of 1 month's duration. He denied pain with eye movement and diplopia. His past medical history included photorefractive keratectomy in both eyes 2 years prior, rosacea, depression, and obesity. He had been seeing his eye doctor frequently for meibomianitis and dry eye syndrome.

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Idiopathic Inflammation of Optic Nerve Simulating Optic Nerve Sheath Meningioma

Cited by 15 publications

References 0 publications

Optic Perineuritis

Optic Perineuritis

Neuroretinitis With Retrobulbar Involvement

A 45-year-old man with unilateral optic disc edema and vision loss

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