Papilledema as a diagnostic challenge - report of three cases

• Autorzy: Sonja Cekić , Dijana Risimić , Gordana Stanković-Babić , Rade Babić , Vesna Jakšić , Ivan Jovanović , Jasmina Đorđević-Jocić
• Języki publikacji: EN

Abstrakty

EN

We present three different cases of patients with papilledema: one case with a primary tumour of the optic nerve, and two cases with secondary involvement of the optic nerve (breast carcinoma and non-Hodgkin lymphoma). The visual acuity varies from sudden, painless, decrease of vision, to blurred vision and proptosis on the affected eye. A characteristic ophthalmoscopic examination shows a swollen optic disc and promonence with tortuosity of blood vessels. A fluorescein angiography shows dilated capillaries of the optic disc with leakage in the early phase and diffuse hyperfluorescence during the late phase. A ultrasonography B-scan of the affected eye shows prominent optic nerves with widened optic nerve sheath. An exhaustive history and complete ophthalmological examination are essential for the diagnosis, to which fluorescein angiography, B-scan ultrasonography, ocular coherent tomography, computerized tomography, and magnetic resonance can be used as useful additional tests. Treatment and prognosis depend on the primary process. We emphasize the crucial role of ophthalmologist in the early diagnosis of CNS neoplasia.

Słowa kluczowe

EN

Papilledema; Metastatic carcinoma; Schwannoma; Breast; Lymphoma

• Czasopismo: Open Medicine
• Rocznik: 2012
• Tom: 7
• Numer: 1
• Strony: 100-107

Daty

wydano

2012-02-01

online

2011-11-24

Twórcy

autor

Sonja Cekić

• Department for Retinal Disorders, Eye Clinic, Clinic Centre Niš, Bulevar Dr Zorana Đinđića 48, 18000, Niš, Serbia,

autor

Dijana Risimić

• Department for Retinal Disorders, Institute for Eye Diseases, Faculty of Medicine, Dr Subotića 8 Street, 11 000, Belgrade, Serbia

autor

Gordana Stanković-Babić

• Eye Clinic, Faculty of Medicine, University of Niš, Bulevar Dr Zorana Đinđića 48, 18000, Niš, Serbia

autor

Rade Babić

• Centar for Radiology, Clinic Centre Niš, Bulevar Dr Zorana Đinđića 48, 18000, Niš, Serbia

autor

Vesna Jakšić

• Department of Ophthalmology, Faculty of Medicine, Kosovska Mitrovica, Serbia

autor

Ivan Jovanović

• Department of Anatomy, Faculty of Medicine, University of Niš, Bulevar Dr Zorana Đinđića 81, 18000, Niš, Serbia

autor

Jasmina Đorđević-Jocić

• Eye Clinic, Faculty of Medicine, University of Niš, Bulevar Dr Zorana Đinđića 48, 18000, Niš, Serbia

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Identyfikatory

DOI

10.2478/s11536-011-0112-3