Background
Methods
Results
No. | Age/Sex | Complaint | Signs (best corrected visual acuity/other ocular signs) | Initial diagnosis | Radiologic finding | Pathological finding | outcome |
---|---|---|---|---|---|---|---|
1 | 47/M | gradually blurred vision of right eye for 3 mo | 0.1/RAPD(+), light optic disc of right eye | optic neuropathy (R) | CT: bony destruction, MRI: heterogenous(T1), hyperintense(T2), (SS) | SS | No improvement |
2 | 65/F | blurred vision of right eye for 1 mo | 0.01/dilated pupil, RAPD(+) | optic neuritis (R) | CT: bony erosion, MRI: isointensity(T1), slight hyperintensity(T2), (SS) | FSS | No improvement |
3 | 56/F | gradually blurred vision of right eye for 3 mo | NLP/RAPD(+), pallor of the right optic disc | optic neuritis (R) | CT: bony destruction, MRI: isointensity(T1), hypointensity(T2), (FSS) | FSS | No improvement |
4 | 73/F | blurred vision of left eye for 3 mo | HM/30 cm/ RAPD(+), light optic disc of left eye | optic neuropathy (L) | CT: bony pressure erosion, MRI: hypointensity (T1), hyperintense(T2), (SSM) | SSM | No improvement |
5 | 51/M | gradually blurred vision of right eye for 1 y | 0.3/ RAPD(+), light optic disc of right eye | optic neuropathy (R) | CT: bony pressure erosion, MRI: hypointensity (T1), hyperintense(T2), (SSM) | SSM | improvement |
6 | 62/M | blurred vision of right eye for 4 y, accompanied with ipsilateral protopsis | 0.5/proptosis, RAPD(+), pale optic disc of right eye | optic nerve atrophy (R) | CT: bony pressure erosion, MRI: hypointensity (T1), hyperintense(T2), (SSM) | SSM | No improvement |
7 | 61/F | sequential blurred vision of both eye for 1 mo, blind for 1 w | NLP,NLP/mydriasis, pallor of the both optic disc | optic neuropathy (B) | CT: bony destruction with calcification, MRI: isointensity(T1), hypointensity(T2), (FSS) | FSS | No improvement |
8 | 79/M | sudden blurred vision of right eye for 6 d | NLP/ RAPD(+) | optic neuritis (R) | Brain CT: normal, MRI: isointensity(T1), hyperintense(T2), (SS) | FSS | Partially improvement |
9 | 47/M | blurred vision of left eye for 3 d | 0.3/− | optic neuritis (L) | CT: low-density soft tissue mass, MRI: hypointensity (T1), hyperintense(T2), (SSM) | SSM | Improvement |
10 | 39/F | gradually blurred vision of left eye for 2 mo, blind for 1 w | NLP/RAPD(+), pallor of the left optic disc | optic neuropathy (L) | CT: low-density mass, bony sclerosis, (FSS) | FSS | No improvement |
11 | 52/F | gradually blurred vision of right eye for 1 y | 0.6/ light optic disc of right eye | optic neuropathy (R) | CT: low-density mass, bony sclerosis, (FSS) | FSS | Improvement |
12 | 33/M | blurred vision of both eye, progressive impairment of right eye for 5 d | 0.05,1.0/ right RAPD(+) | optic neuritis (B) | CT: low-density soft tissue mass, MRI: isointensity(T1), hyperintensity (T2), (SSM) | SSM | Improvement |
13 | 74/F | blurred vision of left eye and binocular double vision for 20 d | 0.1 /ptosis, dilated pupil, exotropia and restricted adduction of left eye | optic neuropathy (L); incomplete CN III palsy(L); orbital apex syndrome(L) | CT: bony sclerosis, CT/MRI: normal, (SS) | FSS | Both improvement |
14 | 45/M | binocular double vision for 2 mo, blurred vision of left eye for 3 d | 0.02/ left RAPD(+), esotropia and restricted abduction of left eye | optic neuropathy(L); incomplete CN VI palsy(L) | CT: low-density soft tissue mass, bony sclerosis, MRI: hyperintensity(T1), hyperintensity(T2), (SS) | SS | Improvement of eye movement |
15 | 83/M | progressively blurred vision of right eye for 1 mo, and used to be binocular double vision for a time | 0.05/ ptosis, restricted adduction, mydriasis, pale optic disc of right eye | optic neuropathy(R); incomplete CN III palsy(R) | CT: soft tissue mass, bony sclerosis and thickening, (SS) | FSS | Improvement of eye movement and ptosis |
16 | 33/M | binocular double vision for 1 mo | restricted adduction of right eye | incomplete CN III palsy(R) | CT: bony destruction, MRI: hypointensity(T1), hyperintense(T2), (SSM) | SSM | Improvement |
17 | 31/M | sudden binocular double vision for 20 d | restricted abduction of right eye | incomplete CN VI palsy(R) | CT: bony pressure erosion, with focal destruction, MRI: isointensity(T1), slight hyperintensity(T2), (SS) | FSS | Improvement |
18 | 67/M | sudden binocular double vision for 1 mo | restricted abduction of left eye | incomplete CN VI palsy(L) | CT: bony sclerosis, (SS) | SS | Improvement |
19 | 32/F | sudden binocular double vision for 7 d | ptosis and restricted adduction of left eye | incomplete CN III palsy(L) | CT: bony destruction, MRI: isointensity(T1), hyperintensity(T2), (SS) | SS | Improvement |
20 | 46/M | sudden binocular double vision for 1 mo | restricted abduction of right eye | incomplete CN VI palsy(R) | MRI: hypointensity (T1), hyperintense(T2), (SSM) | SSM | Improvement |
21 | 62/M | binocular double vision for 3 y | ptosis and restricted abduction of right eye | incomplete CN III palsy(R) | CT: low-density soft tissue mass, MRI: hypointensity(T1), hyperintense(T2), (SSM) | SSM | Improvement |
22 | 51/F | sudden binocular double vision for 28 d | the left eye fail to abduct | CN VI palsy(L) | CT: low-density soft tissue mass without bony changes, (SS) | SS | Improvement |
23 | 74/M | sudden binocular double vision for 16 d | the right eye fail to abduct | CN VI palsy(R) | CT: low-density soft tissue mass, MRI: hypointensity(T1), hyperintense(T2), (SSM) | SSM | Improvement |
Visual disturbance | No. of patients | Intervala
| Initial Ophthalmic diagnosis | Accompanying symptoms | Radiologic findings | Pathologic diagnosis | Outcome (improvement) | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
≤1 month | >1 month | Headache (followed/accompanied by ocular symptoms) | ocular pain | nasal symptoms | FSS | SSM | SS | FSS | SSM | SS | FSS | SSM | SS | |||
unilateral visual disturbance | 15 (17 eyes) b
| 8 | 7 | Optic neuropathy (9) | 13 (7/6) | 6 | 3 | 4 | 5 | 6 | 8 | 5 | 2 | 3 (3 eyes) | 3 (4 eyes) | 0 |
Optic neuritis (5) | ||||||||||||||||
Optic nerve atrophy (1) | ||||||||||||||||
bilateral visual disturbance | 11 b
| 9 | 2 | incomplete CNIII palsy (5) | 8 (4/4) | 3 | 2 | 0 | 4 | 7 | 3 | 4 | 4 | 3 | 4 | 4 |
Incomplete CNVI palsy (4) | ||||||||||||||||
complete CNVI palsy (2) |
No. | Age/Sex | Visual Loss (VA) | Diplopia | Accompanying Symptoms | Underlying Diseases | Intervalb
| Outcomes | ||
---|---|---|---|---|---|---|---|---|---|
Paina/Localization | Nasal Symptom | Visual Loss | Diplopia | ||||||
2 | 65/F | R(2/200) | – | +/temporal, occipital | – | – | 1 mo | No improvement | / |
3c
| 56/F | R(NLP) | – | +/temporal,peri-orbital | – | rheumatoid arthritis | 3 mo | No improvement | / |
7c
| 61/F | R(NLP) L(NLP) | – | +/vertex,occipital | – | DM(U) | 1 mo | No improvement | / |
8 | 79/M | R(NLP) | – | +/frontal,retro-orbital | – | DM(U), ischemic heart disease | 6 d | improvement | / |
10 | 39/F | L(NLP) | – | +/temporal | – | DM(U) | 2 y | No improvement | / |
11 | 52/F | R(20/30) | – | +/occipital | nasal obstruction | – | 1 y | improvement | / |
13 | 74/F | L(20/200) | + | +/vertex | – | IGT, hypothyroidism | 20 d | improvement | improvement |
15 | 83/M | R(10/200) | + | +/occipital, retro-orbital | – | – | 1 mo | No improvement | improvement |
17c
| 31/M | – | + | +/vertex,occipital | bloody rhinorrhea | carriers of chronic hepatitis B virus | 20 d | / | improvement |