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TitreRadiation-induced optic neuropathy: is the diagnosis really that easy?
ButTo 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.
MéthodesCase report
RésultatsThe 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.
ConclusionThe diagnosis of radiation-induced optic neuropathy can only be confirmed when all other possibilities are excluded.
Auteur 1
NomDE KEYZER
InitialesTHW
InstitutDepartment of Ophthalmology, University Hospital
VilleAntwerp
Auteur 2
Nomde Keizer
InitialesRJW
InstitutDepartment of Ophthalmology, University Hospital
VilleAntwerp
Auteur 3
NomMenovsky
InitialesT
InstitutDepartment of Neurosurgery, University Hospital
VilleAntwerp
Auteur 4
NomParizel
InitialesP
InstitutDepartment of Radiology, University Hospital
VilleAntwerp
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