From the Department of Neurology (JDH, SKC), Royal Preston Hospital, Lancashire Teaching Hospitals NHS Foundation Trust, Preston, UK; and Department of Neuroradiology (SM), Royal Preston Hospital, Lancashire Teaching Hospitals NHS Foundation Trust, Preston, UK.
Neurology. 2023 Feb 28;100(9):439-443. doi: 10.1212/WNL.0000000000201663. Epub 2022 Nov 30.
Bilateral optic disc swelling is a common finding but rarely associated with multiple cranial neuropathies. In this case, an 18-year-old man presented with subacute sequential hearing loss followed by subacute sequential visual loss. Clinical examination revealed bilateral optic disc swelling. Lumbar puncture revealed a normal opening pressure of 15 cmHo. This case discusses a rare but important cause of bilateral optic disc swelling in the context of hearing loss, disequilibrium, and a normal CSF opening pressure. An overview of the literature is provided, and treatment options are discussed to guide further management of similar cases.
双侧视盘肿胀是一种常见的表现,但很少与多种颅神经病变相关。本例中,一名 18 岁男性表现为亚急性进行性听力下降,随后出现亚急性进行性视力下降。临床检查发现双侧视盘肿胀。腰椎穿刺显示正常颅内压为 15cmH2O。本病例讨论了一种罕见但重要的病因,即双侧视盘肿胀伴听力损失、失衡和正常脑脊液压力。本文提供了文献综述,并讨论了治疗选择,以指导类似病例的进一步治疗。