Optic nerve metastasis simulating optic neuritis

被引:8
作者
Pengel, J
Crevits, L
Wynants, P
DePoorter, MC
Mastenbroek, GGA
DeReuck, J
机构
[1] STATE UNIV GHENT HOSP,DEPT NEUROL,B-9000 GHENT,BELGIUM
[2] STREEKZIEKENHUIS DE HONTE,DEPT PATHOL,TERNEUZEN,NETHERLANDS
[3] STREEKZIEKENHUIS DE HONTE,DEPT NEUROL,TERNEUZEN,NETHERLANDS
关键词
loss of visual acuity; optic neuritis; malignant invasion of the optic nerves;
D O I
10.1016/S0303-8467(96)00559-8
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
A 68-year-old man developed subacutely bilateral loss of visual acuity without any other neurological sign. Magnetic resonance images showed some small scattered periventricular white matter T2 hypersignals. On spinal fluid analysis a mononuclear pleocytosis and an oligoclonal gamma-pattern was found. Treatment with intravenous corticosteroids had no effect. The clinical situation deteriorated and the patient died of bronchopneumonia. Postmortem examination revealed manifest metastatic invasion of both the optic nerves by a non-detectable primary tumor. (C) 1997 Elsevier Science B.V.
引用
收藏
页码:46 / 49
页数:4
相关论文
共 9 条
[1]   ISOLATED METASTASIS TO THE OPTIC-NERVE [J].
ARNOLD, AC ;
HEPLER, RS ;
FOOS, RY .
SURVEY OF OPHTHALMOLOGY, 1981, 26 (02) :75-83
[2]  
BRASS LM, 1991, NEURODIAGNOSTIC PROC
[3]   TUMORS OF THE OPTIC-NERVE HEAD [J].
BROWN, GC ;
SHIELDS, JA .
SURVEY OF OPHTHALMOLOGY, 1985, 29 (04) :239-264
[4]  
Goldstein I, 1931, ARCH OPHTHALMOL-CHIC, V6, P414
[5]   PARA-NEOPLASTIC OPTIC NEUROPATHY WITH HISTOPATHOLOGICAL VERIFICATION OF ABSENCE OF MENINGEAL METASTASES [J].
HOOGENRAAD, TU ;
SANDERS, EACM ;
TAN, KEWP .
NEURO-OPHTHALMOLOGY, 1989, 9 (04) :247-250
[6]   OPTIC NEURITIS IN THE ELDERLY - PROGNOSIS FOR VISUAL RECOVERY AND LONG-TERM FOLLOW-UP [J].
JACOBSON, DM ;
THOMPSON, HS ;
CORBETT, JJ .
NEUROLOGY, 1988, 38 (12) :1834-1837
[7]  
MAXWELL M, 1988, ADV NEUROONCOLOGY, P287
[8]   CARCINOMATOUS OPTIC NEUROPATHY [J].
SUSAC, JO ;
SMITH, JL ;
POWELL, JO .
AMERICAN JOURNAL OF OPHTHALMOLOGY, 1973, 76 (05) :672-679
[9]  
Terry TL, 1933, ARCH OPHTHALMOL-CHIC, V10, P611