A 30-year-old man experienced subacute peripheral visual field loss with preserved central vision in his right eye. He was diagnosed with optic perineuritis due to tuberculosis. Optic perineuritis is an uncommon disorder and, at times, can be difficult to distinguish from optic neuritis. The differentiation can have significant impact on diagnostic testing and patient management.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1097/WNO.0000000000000717 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Clinical, laboratory, and orbital imaging features of giant cell arteritis in comparison to non-arteritic anterior ischemic optic neuropath: a single center case series.
Front Ophthalmol (Lausanne)
December 2024
Department of Ophthalmology & Visual Sciences, School of Medicine, Washington University in St. Louis, St Louis, MO, United States.
Background: Giant cell arteritis (GCA) is the most common vasculitis in patients older than 50 years and is considered a "do not miss" diagnosis. However, it remains a diagnostic challenge given overlapping clinical syndromes such as non-arteritic anterior ischemic optic neuropathy (NAION) and poorly explored imaging findings.
Materials And Methods: In this retrospective study between the time period of January 2013 and December 2021, a total of 13 consecutive patients with a pathological diagnosis of GCA and 8 patients with clinical diagnosis of NAION were isolated.
Bilateral Optic Perineuritis Secondary to Treponema pallidum Infection.
Ophthalmology
December 2024
Johns Hopkins Medicine, Department of Neurology, Baltimore, Maryland.
Myelin Oligodendrocyte Glycoprotein Antibody Disease (MOGAD)-Monophasic Optic Neuritis and Epstein-Barr Virus (EBV): A Case Report of Rare Comorbid Diagnoses in an Adolescent From a Remote Greek Island.
Cureus
September 2024
Multiple Sclerosis and Demyelinating Diseases Unit and Center of Expertise for Rare Demyelinating and Autoimmune Diseases of the Central Nervous System, 1st Department of Neurology, "Aeginition" University Hospital, School of Medicine, National and Kapodistrian University of Athens, Athens, GRC.
A unique case of a female adolescent diagnosed with myelin oligodendrocyte glycoprotein (MOG) monophasic optic neuritis with Epstein-Barr virus (EBV) reactivation antibody profile on a remote Greek island is presented, highlighting the challenges of diagnosing rare conditions in rural settings and the importance of connecting centers of expertise with regional hospitals. The 16-year-old patient presented with progressive vision loss, headache, and retrobulbar pain in the right eye. Initial ophthalmological examinations showed decreased visual acuity and color vision deterioration.
View Article and Find Full Text PDFArticle Synopsis
- Wernicke encephalopathy (WE) can lead to various neuro-ophthalmic symptoms like vision loss, and this case highlights a 53-year-old woman who experienced bilateral painless vision decline alongside other neurological issues.* -
- Despite elevated inflammatory markers and a thorough work-up revealing no clear cause, brain MRI indicated possible WE, prompting immediate high-dose thiamine treatment, which led to significant improvement.* -
- The case stresses the importance of considering vision loss in Wernicke-Korsakoff syndrome (WKS) patients and suggests that while checking thiamine levels is important, starting treatment based on clinical suspicion is often necessary and safe.*
Teaching NeuroImage: Giant Cell Arteritis With Optic Perineuritis.
Neurology
August 2024
From the Departments of Neurology (A.T., K.E.G.) and Pathology (A.W., C.G.E.), Johns Hopkins University, Baltimore, MD.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!