Cornblath W T, Quint D J
Department of Ophthalmology, University of Michigan, Ann Arbor, USA.
Neurology. 1997 Apr;48(4):821-5. doi: 10.1212/wnl.48.4.821.
We report two cases of optic neuritis with optic nerve enlargement on MRI. Both had a clinical course typical for optic neuritis but also had a neuroradiologic finding most commonly seen with optic nerve glioma or meningioma, which initially led to an incorrect diagnosis. We review the six previous reported cases of optic nerve enlargement in optic neuritis. Including our cases, six of eight reported cases were in children with severe initial visual loss. Optic nerve enlargement is a rare finding in optic neuritis that might be a subtype of optic neuritis.
我们报告了两例磁共振成像(MRI)显示视神经增粗的视神经炎病例。两例均有典型的视神经炎临床病程,但也有视神经胶质瘤或脑膜瘤最常见的神经放射学表现,这最初导致了误诊。我们回顾了先前报道的6例视神经炎视神经增粗的病例。包括我们的病例在内,8例报道病例中有6例是初始视力严重丧失的儿童。视神经增粗在视神经炎中是一种罕见表现,可能是视神经炎的一种亚型。