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TitelOptic nerve metastases from rectal adenocarcinoma – a case report
DoelWe present a rare case of a metastatic optic nerve disease due to histologically proven colorectal adenocarcinoma.
MethodesA 49-year-old man, with a known history of rectal adenocarcinoma, presented with progressive loss of vision in his left eye. On presentation, his vision was 6/36 in the right eye and counting fingers in the left eye.
ResultatenFundus examination showed a left globally swollen optic nerve with a few flame haemorrhages. A gadolinium enhanced MRI scan was performed and demonstrated an abnormal thickening of the anterior and mid-section of the optic nerve with high signal on STIR and post gadolinium enhancement. An optic nerve biopsy was performed and histology confirmed the presence of epithelial adenocarcinoma compatible with metastasis of gut origin.
ConclusieThe patient died within 4 months of presentation.
BelangenverstrengelingNee
Auteur 1
NaamJAMALL
InitialenO
InstituutMaidstone Ophthalmology Department
StadMaidstone
Auteur 2
NaamBates
InitialenA
InstituutMaidstone Ophthalmology Department
StadMaidstone
Auteur 3
NaamVerity
InitialenD
InstituutMoorfields Eye Hospital
StadLondon
Auteur 4
NaamAmin
InitialenS
InstituutUniversity College London Hospital
StadLondon
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