Ziaei Mohammed M, Ziaei Hadi
Department of Ophthalmology, Central Middlesex Hospital, Acton Lane, London NW10 7NS, UK.
Case Rep Ophthalmol Med. 2012;2012:894062. doi: 10.1155/2012/894062. Epub 2012 Feb 14.
Purpose. To present a unique case of Non-Hodgkin's-Lymphoma- (NHL) associated compressive optic neuropathy. Method. An 89-year-old male presenting with acute unilateral visual loss and headache. Results. Patient was initially diagnosed with occult giant cell arteritis; however after visual acuity deteriorated despite normal inflammatory markers, an urgent MRI scan revealed an extensive paranasal sinus mass compressing the optic nerve. Conclusion. Paranasal sinus malignancies occasionally present to the ophthalmologist with signs of optic nerve compression and must be included in the differential diagnosis of acute visual loss.
目的。介绍一例非霍奇金淋巴瘤（NHL）相关的压迫性视神经病变的独特病例。方法。一名89岁男性，表现为急性单侧视力丧失和头痛。结果。患者最初被诊断为隐匿性巨细胞动脉炎；然而，尽管炎症指标正常，但视力仍恶化，紧急MRI扫描显示广泛的鼻窦肿块压迫视神经。结论。鼻窦恶性肿瘤偶尔会以视神经受压的症状出现在眼科医生面前，在急性视力丧失的鉴别诊断中必须考虑到。
