Lakhani Dhairya A, Balar Aneri B, Tarabishy Abdul R, Hogg Jeffery P, Khan Musharaf
Department of Radiology, West Virginia University, Morgantown, WV 26506, USA.
Department of Neuroradiology, West Virginia University, Morgantown, WV 26506, USA.
Radiol Case Rep. 2022 Aug 14;17(10):3950-3954. doi: 10.1016/j.radcr.2022.07.100. eCollection 2022 Oct.
Presence of acute optic disc and optic nerve infarction in a young man is uncommon finding. This is most commonly seen in the setting of vasculitis and infection. Ischemic optic neuropathy has been reported with cocaine use, amlodipine and alcohol use. To our knowledge there is no reported case of ischemic optic neuropathy in the setting of heroin / opioid use. MR imaging findings in the setting of substance use are similar to other etiologies of ischemic optic neuropathy, with high T2/FLAIR signal, diffusion restriction and abnormal gadolinium enhancement. Here we report a case of 23-year-old man with heroin use disorder presenting with optic nerve infarct resulting in acute painless monocular vision loss.
一名年轻男性出现急性视盘和视神经梗死是罕见的发现。这最常见于血管炎和感染的情况下。缺血性视神经病变已被报道与使用可卡因、氨氯地平和酒精有关。据我们所知，尚无在使用海洛因/阿片类药物情况下发生缺血性视神经病变的报道病例。物质使用情况下的磁共振成像表现与缺血性视神经病变的其他病因相似，表现为T2/液体衰减反转恢复序列（FLAIR）信号增高、扩散受限和钆异常强化。在此，我们报告一例23岁患有海洛因使用障碍的男性，其出现视神经梗死导致急性无痛性单眼视力丧失。
