Department of Ophthalmology and Visual Science, Kochi Medical School, Kochi University, Nankoku City, Kochi, Japan.
Department of Endocrinology, Metabolism, and Nephrology, Kochi Medical School, Kochi University, Nankoku City, Kochi, Japan.
Ocul Immunol Inflamm. 2022 Aug;30(6):1515-1518. doi: 10.1080/09273948.2021.1881561. Epub 2021 Apr 1.
: To report a case of optic neuropathy diagnosed by color Doppler ultrasonography and Gadolinium-enhanced cerebral magnetic resonance imaging (MRI).: A 79-year-old woman presented with headache and vision loss in her left eye. Although her bilateral temporal arteries were palpable and rope-like, color Doppler ultrasonography showed normal flow in both arteries with no signs of arteritis. MRI revealed increased enhancement of the pachymeninges enveloping both cerebral hemispheres, suggestive of hypertrophic pachymeningitis.: Symptoms and laboratory data are similar for both hypertrophic pachymeningitis and giant cell arteritis (GCA). The present case suggests the utility of ultrasonography and MRI as rapid, convenient, and noninvasive tools for differential diagnosis of optic neuropathy.
报告一例经彩色多谱勒超声和钆增强脑磁共振成像（MRI）诊断的视神经病变。
一位 79 岁女性因头痛和左眼视力丧失就诊。虽然她的双侧颞动脉可触及且呈绳索状，但彩色多谱勒超声显示双侧动脉血流正常，无动脉炎迹象。MRI 显示覆盖双侧大脑半球的硬脑膜增厚增强，提示肥厚性硬脑膜炎。
肥厚性硬脑膜炎和巨细胞动脉炎（GCA）的症状和实验室数据相似。本例提示超声和 MRI 作为一种快速、方便、无创的视神经病变鉴别诊断工具的效用。
