Open AccessAn unusual presentation of neurosarcoidosis: Concurrent optic perineuritis and optic neuritis
Author(s) -
Mung Yan Lin,
Qun Wang,
Nancy J. Newman,
Michael Dattilo
Publication year - 2021
Publication title -
taiwan journal of ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.519
H-Index - 9
eISSN - 2211-5072
pISSN - 2211-5056
DOI - 10.4103/tjo.tjo_84_20
Subject(s) - medicine , neurosarcoidosis , optic neuritis , sarcoidosis , optic nerve , concomitant , optic neuropathy , neuritis , cranial nerve disease , pathology , multiple sclerosis , ophthalmology , surgery , immunology
Neurosarcoidosis is a rare complication of sarcoidosis and typically presents as acute cranial neuropathies. Neurosarcoidosis can rarely cause an inflammatory optic neuropathy, resembles an optic neuritis and even more rarely can cause an optic perineuritis. Although concomitant optic neuritis and optic perineuritis have been reported in other inflammatory conditions, such as myelin oligodendrocyte antibody-associated disease, spatially-distinct optic neuritis, and optic perineuritis has not been previously described in neurosarcoidosis. Here, we present a case of spatially-distinct concomitant optic neuritis and optic perineuritis from neurosarcoidosis in a 51-year-old man initially suspected to harbor metastatic disease based on imaging findings.