McLaurin E B, Harrington D O
Am J Ophthalmol. 1978 Nov;86(5):656-60. doi: 10.1016/0002-9394(78)90185-x.
Intracranial sarcoidosis was diagnosed in a 23-year-old man when he developed a markedly incongruous right homonymous hemianopic visual field defect. The diagnosis was substantiated by radiologic evidence of bilateral hilar and paratracheal adenopathy, typical of pulmonary sarcoidosis. Subsequently, computed axial tomography indicated a large intracranial lesion in the suprasellar cistern with extension into the left temporal lobe along the optic tract. A mediastinal biopsy of the lymph nodes was positive for sarcoid. Intensive corticosteroid therapy resulted in restoration of vision, marked improvement of the visual field defect, decrease in the pulmonary hilar adenopathy, and almost complete resolution of the left temporal lobe lesion.
一名23岁男性被诊断为颅内结节病，当时他出现了明显不一致的右侧同向性偏盲视野缺损。双侧肺门和气管旁淋巴结肿大的放射学证据证实了该诊断，这是肺结节病的典型表现。随后，计算机断层扫描显示鞍上池有一个大的颅内病变，并沿视束延伸至左颞叶。纵隔淋巴结活检显示结节病阳性。强化皮质类固醇治疗使视力恢复，视野缺损明显改善，肺门淋巴结肿大减轻，左颞叶病变几乎完全消退。
