Abstract:
Our report describes an unusual radiological presentation of optic nerve sheath meningioma. The classic radiological appearance of optic nerve thickening with enhancement and calcification within the tumor was not seen; instead, an elongating gadolinium enhancing band-like area adjacent to the superomedial aspect of the left optic nerve sheath was identified. The diagnosis was confirmed on histopathology. Our report adds to the spectrum of presentations of this relatively common clinical entity.
Keywords:
Optic nerve sheath meningioma, Radiology, MRI, Histopathology
Citation: Chameen Samarawickrama, Ellen Frydenberg, Matthew Wells, Timothy Steel, Raf Ghabrial An Unusual Radiological Presentation Of Optic Nerve Sheath Meningiom A DOI: http://dx.doi.org/10.1016/j.sjopt.2016.01.002
Published Online: February: 13, 2016, Accepted: January 10, 2016, Received in revised form: November 25, 2015, Received: May 30, 2015.
Copyright: © 2016 The Authors. Production and hosting by Elsevier B.V. on behalf of Saudi Ophthalmological Society, King Saud University. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
Conclusion
To our knowledge this is the first case of CNV secondary to morning glory syndrome in a child treated with ranibizumab. Peripapillary CNV secondary to optic nerve abnormalities may be successfully treated with intravitreal ranibizumab injections. This report adds to the evidence base accumulating for the use of ranibizumab in a case of CNV secondary to MGS. Flexible treatment regimens should be advised in pediatric patients rather than monthly injections in these settings.
Conflict of interest
The authors declared that there is no conflict of interest.
