A Case of Optic Neuritis Concomitant with Pituitary Tumor During Pregnancy

被引:5
作者
Yamaguchi, Rei [1 ,2 ]
Kohga, Hideaki [1 ]
Tosaka, Masahiko [4 ]
Sekine, Akiko [3 ]
Mizushima, Kazuyuki [3 ]
Harigaya, Yasuo [3 ]
Yoshimoto, Yuhei [4 ]
机构
[1] Gen Fujioka Hosp, Dept Neurosurg, Fujioka, Japan
[2] Japanese Red Cross Maebashi Hosp, Dept Neurosurg, Maebashi, Gunma, Japan
[3] Japanese Red Cross Maebashi Hosp, Dept Neurol, Maebashi, Gunma, Japan
[4] Gunma Univ, Grad Sch Med, Maebashi, Gunma, Japan
关键词
Optic neuritis; Pituitary tumor; Pregnancy;
D O I
10.1016/j.wneu.2016.06.103
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
BACKGROUND: Optic neuritis (ON) is unilateral painful optic nerve inflammation in a young healthy female diagnosed by excluding glaucoma. ON onset during pregnancy is rare, with only 2 cases reported to date. CASE DESCRIPTION: A 35-year-old previously healthy parous woman who was pregnant with her second child suffered rapidly progressive visual acuity loss. Magnetic resonance imaging (MRI) revealed a pituitary tumor. Emergency surgery was performed for optic nerve compression; however, her visual impairment worsened. Postoperative diffusion-weighted MRI showed high intensity in the bilateral optic nerves, and ON was diagnosed. Administration of methylprednisolone was effective, and her visual acuity recovered over 6 months. CONCLUSIONS: Associated pituitary macroadenoma complicated the true diagnosis of ON, because contrast medium cannot be used in pregnant women. The diffusion-weighted MRI findings were useful for diagnosing this complex clinical condition.
引用
收藏
页码:488.e1 / 488.e4
页数:4
相关论文
共 16 条
  • [1] Al-Shafai LS, 2006, AM J NEURORADIOL, V27, P255
  • [2] Medical management of pituitary adenomas: The special case of management of the pregnant woman
    Bronstein M.D.
    Salgado L.R.
    de Castro Musolino N.R.
    [J]. Pituitary, 2002, 5 (2) : 99 - 107
  • [3] Couture Nathalie, 2012, Endocr Pract, V18, pe147, DOI 10.4158/EP12106.CR
  • [4] de Heide LJM, 2004, NETH J MED, V62, P393
  • [5] Dooley Mary Caitlin, 2010, J Ophthalmic Vis Res, V5, P182
  • [6] Clinical characteristics, diagnostic criteria and therapeutic outcomes in autoimmune optic neuropathy
    Frohman, L.
    DellaTorre, K.
    Turbin, R.
    Bielory, L.
    [J]. BRITISH JOURNAL OF OPHTHALMOLOGY, 2009, 93 (12) : 1660 - 1666
  • [7] Quantitative Evaluation of Signal Intensity of Magnetic Resonance Images in Optic Neuritis
    Hanawa, Tadao
    Mizota, Atsushi
    [J]. OPEN OPHTHALMOLOGY JOURNAL, 2007, 1 : 1 - 3
  • [8] Optic Neuritis, its Differential Diagnosis and Management
    Hoorbakht, Hedieh
    Bagherkashi, Farid
    [J]. OPEN OPHTHALMOLOGY JOURNAL, 2012, 6 : 65 - 72
  • [9] Chronic relapsing inflammatory optic neuropathy (CRION)
    Kidd, D
    Burton, B
    Plant, GT
    Graham, EM
    [J]. BRAIN, 2003, 126 : 276 - 284
  • [10] Bilateral Idiopathic Optic Neuritis in Pregnancy
    Liu, Tiffany S.
    Crow, Robert W.
    [J]. SEMINARS IN OPHTHALMOLOGY, 2013, 28 (01) : 46 - 49