一例独特的毛霉菌病致视神经梗死的放射学病例。

A Unique Radiologic Case of Optic Nerve Infarction in a Patient With Mucormycosis.

机构信息

Ruiz Department of Ophthalmology and Visual Science (ALC, THD, KR, O-OA), McGovern Medical School at The University of Texas Health Science Center at Houston (UTHealth), Houston, Texas; Robert Cizik Eye Clinic (ALC, THD, KR, O-OA), Houston, Texas; Department of Diagnostic and Interventional Imaging (EPS), McGovern Medical School at UTHealth, Houston, Texas; and Departments of Pathology (MBB) and Neurology (O-OA), McGovern Medical School at UTHealth, Houston, Texas.

出版信息

J Neuroophthalmol. 2021 Sep 1;41(3):e354-e356. doi: 10.1097/WNO.0000000000001179.

DOI:10.1097/WNO.0000000000001179

PMID:33449489

Abstract

This is a rare presentation of a unilateral optic nerve infarction of the left eye caused by mucormycosis in a 51-year-old man with poorly controlled Type 2 diabetes. Diffusion-weighted MRI of the orbit demonstrated extensive infarction of the left optic nerve with ipsilateral cavernous sinus thrombosis and periorbital adnexal inflammation. Left orbital exenteration and sinus debridement were performed, and mucormycosis involving the optic nerve sheath was confirmed on histopathology.

摘要

这是一位 51 岁男性患者因 2 型糖尿病控制不佳而发生单侧左眼视神经梗死的罕见病例，由毛霉菌引起。眼眶弥散加权 MRI 显示左侧视神经广泛梗死，伴有同侧海绵窦血栓形成和眶周附属器炎症。行左侧眶内容剜除术和窦清创术，组织病理学证实视神经鞘受累有毛霉菌感染。