Primary Central Nervous System Vasculitis With Optic Nerve Involvement

被引：9

作者：

Benson, Christy E. ^{[1
]}

Knezevic, Alexander ^{[1
]}

Lynch, Shannon C. ^{[1
]}

机构：

[1] Univ Nebraska Med Ctr, Coll Med, Dept Ophthalmol, Omaha, NE USA

来源：

JOURNAL OF NEURO-OPHTHALMOLOGY | 2016年 / 36卷 / 02期

关键词：

GRANULOMATOUS-ANGIITIS; ENHANCEMENT;

D O I：

10.1097/WNO.0000000000000328

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

A 20-year-old woman presented with headache, decreased vision, eye pain, and urinary retention. During her clinical course, visual acuity declined to 20/800, right eye, and 20/50, left eye, associated with bilateral optic disc edema. Brain magnetic resonance imaging revealed enhancement of the leptomeninges, right optic nerve, and right side of the optic chiasm. Extensive evaluation of the central nervous system (CNS) for an infectious cause was negative. Brain biopsy showed a pattern consistent with vasculitis. The patient was treated with prednisone and cyclophosphamide, resulting in improvement of her vision and systemic symptoms. Primary CNS vasculitis is a rare condition that may affect the anterior visual pathways. (C) 2015 by North American Neuro- Ophthalmology Society

引用

页码：174 / 177

页数：4

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