Survey of Ophthalmology
Volume 46, Issue 1 , Pages 56-58, July 2001

Disk Edema and Cranial MRI Optic Nerve Enhancement:

How Long is Too Long?

  • Michael S Vaphiades, DO

      Affiliations

    • Corresponding Author InformationReprint address: Michael S. Vaphiades, DO, Harvey & Bernice Jones Eye Institute, Department of Ophthalmology, University of Arkansas for Medical Sciences, 4301 West Markham, Mail Slot 523, Little Rock, Arkansas 72205-7199 USA

Departments of Ophthalmology and Neurology, University of Arkansas for Medical Sciences, Little Rock, AR, USA

Abstract 

A 43-year-old woman presented with painful visual loss and optic disk edema in the right eye (OD) diagnosed as optic neuritis. Initial non–gadolinium-enhanced fat suppressed cranial magnetic resonance imaging (MRI) was normal. Three months later, the disk edema persisted and a gadolinium-enhanced MRI scan of the brain and orbits with fat suppression showed enhancement of the optic nerve OD, most consistent with an optic nerve sheath meningioma. The diagnostic difference between optic neuritis and optic nerve sheath meningioma is discussed.

Keywords:  disk edema, meningioma, optic nerve sheath meningioma, optic neuritis, orbital MRI with fat suppression and gadolinium

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 The author has no proprietary or commercial interest in any product or concept discussed in this article.

PII: S0039-6257(01)00226-0

Survey of Ophthalmology
Volume 46, Issue 1 , Pages 56-58, July 2001