Garg Aakriti, Patel Payal, Lignelli Angela, Baron Edward, Kazim Michael
*Department of Ophthalmology, Edward S Harkness Eye Institute, and †Department of Radiology, Columbia University College of Physicians and Surgeons, New York; and ‡Department of Ophthalmology, Albert Einstein College of Medicine, Bronx, New York, U.S.A.
Ophthalmic Plast Reconstr Surg. 2015 Jul-Aug;31(4):e94-5. doi: 10.1097/IOP.0000000000000113.
A 57-year-old woman with diabetes mellitus, hypertension, obesity, and Graves disease presented with clinical evidence of thyroid eye disease (TED) and optic neuropathy. She was referred when a tapered dose of steroids prompted worsening of her TED. CT and MRI were consistent with TED and bilateral optic nerve meningioma. To the authors' knowledge, this is the first reported case of concurrent TED and unsuspected bilateral optic nerve meningioma. When investigating the etiology of TED-associated optic neuropathy, careful attention to orbital imaging is required because coexisting pathology may exist.
一名患有糖尿病、高血压、肥胖症和格雷夫斯病的57岁女性出现了甲状腺眼病（TED）和视神经病变的临床证据。在逐渐减量的类固醇药物导致她的TED病情恶化后，她前来就诊。CT和MRI检查结果与TED和双侧视神经脑膜瘤相符。据作者所知，这是首例并发TED和未被怀疑的双侧视神经脑膜瘤的报告病例。在调查TED相关视神经病变的病因时，需要仔细关注眼眶成像，因为可能存在并存的病变。
