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首页> 外文期刊>Journal of neuro-ophthalmology: Official journal of the North American Neuro-Ophthalmology Society >Giant Cell Arteritis Presenting as Unilateral Anterior Ischemic Optic Neuropathy Associated With Bilateral Optic Nerve Sheath Enhancement on Magnetic Resonance Imaging
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Giant Cell Arteritis Presenting as Unilateral Anterior Ischemic Optic Neuropathy Associated With Bilateral Optic Nerve Sheath Enhancement on Magnetic Resonance Imaging

机译：巨细胞动脉炎表现为与磁共振成像上的双侧视神经鞘膜增强相关的单侧前部缺血性视神经病变

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摘要

A 67-year-old man developed jaw claudication followed by loss of vision in the left eye caused by anterior ischemic optic neuropathy (AION). An erythrocyte sedimentation rate was normal, but C-reactive protein was slightly elevated. Although the patient had no evidence of a right optic neuropathy, magnetic resonance imaging (MRI) revealed bilateral optic nerve sheath enhancement. A temporal artery biopsy was consistent with active giant cell arteritis (GCA). Our case demonstrates that bilateral optic nerve sheath enhancement on MRI can be seen in the setting of unilateral AION. This unique combination of clinical and imaging findings has not been reported previously and extends the clinical spectrum of presentation of GCA.
机译：一名67岁的男子因前部缺血性视神经病变（AION）导致颌骨c行，左眼视力下降。红细胞沉降率正常，但C反应蛋白略有升高。尽管患者没有正确的视神经病变的证据，但磁共振成像（MRI）显示双侧视神经鞘膜增强。颞动脉活检与活动性巨细胞动脉炎（GCA）一致。我们的案例表明，在单侧AION的情况下可以看到MRI上的双侧视神经鞘膜增强。临床和影像学发现的这种独特结合以前未见报道，并扩展了GCA表现的临床范围。

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