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TitelRadiation-induced optic neuropathy: is the diagnosis really that easy?
DoelTo discuss the difficulty in making the differential diagnosis of a thickened optic chiasm and optic nerve in a patient who received radiotherapy for a temporal lobe astrocytoma.
MethodesCase report
ResultatenThe case of a 46-year old woman is presented with bilateral visual loss. In the medical history she had a resection of an anaplastic astrocytoma WHO grade III on the right temporal lobe in oktober 2008, followed by radiotherapy and chemotherapy. The vision deteriorated very fast in both eyes to 4/20 with a left homonimous hemianopsia. MRI scan showed a thickened optic chiasm and diffuse enhancement of the optic nerves
Differential diagnosis as well as possible therapeutic strategies are discussed.
ConclusieThe diagnosis of radiation-induced optic neuropathy can only be confirmed when all other possibilities are excluded.
Auteur 1
NaamDE KEYZER
InitialenTHW
InstituutDepartment of Ophthalmology, University Hospital
StadAntwerp
Auteur 2
Naamde Keizer
InitialenRJW
InstituutDepartment of Ophthalmology, University Hospital
StadAntwerp
Auteur 3
NaamMenovsky
InitialenT
InstituutDepartment of Neurosurgery, University Hospital
StadAntwerp
Auteur 4
NaamParizel
InitialenP
InstituutDepartment of Radiology, University Hospital
StadAntwerp
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