ABSTRACT
Eosinophilic angiocentric fibrosis (EAF) is a rare fibroinflammatory disorder with a predilection for upper respiratory tract submucosa. We report a 45-year-old man with progressive unilateral visual loss secondary to a retroorbital soft tissue mass with histological features consistent with EAF. The patient experienced marked improvement in vision after endoscopic optic nerve decompression through sphenoethmoidectomy.
Subject(s)
Granuloma, Respiratory Tract/complications , Optic Nerve Diseases/physiopathology , Decompression, Surgical , Disease Progression , Fibrosis , Humans , Male , Middle Aged , Tomography Scanners, X-Ray ComputedABSTRACT
Adult patients who present with papilloedema and symptoms of raised intracranial pressure need urgent multidisciplinary assessment including neuroimaging, to exclude life-threatening causes. Where there is no apparent underlying cause for the raised intracranial pressure, patients are considered to have idiopathic intracranial hypertension (IIH). The incidence of IIH is increasing in line with the global epidemic of obesity. There are controversial issues in its diagnosis and management. This paper gives a practical approach to assessing patients with papilloedema, its investigation and the subsequent management of patients with IIH.
Subject(s)
Pseudotumor Cerebri/diagnosis , Pseudotumor Cerebri/therapy , Humans , Papilledema/diagnosis , Papilledema/etiology , Pseudotumor Cerebri/complicationsABSTRACT
The authors describe a case of Miller-Fisher syndrome in a child who presented to the ophthalmology department with bilateral abducens nerve palsies. Miller-Fisher syndrome is an important differential diagnosis in any case of bilateral sixth nerve palsies but should only be definitively diagnosed once tumors, infections, and other neurological diseases have been conclusively ruled out.