[Ophthalmoplegia and blindness associated with necrotizing sarcoid granuloma].
A 65 year old male, presented with ophthalmoplegia and reduced vision in his left eye. The magnetic resonance imaging (MRI) of the brain revealed three hyperintensity areas located in the left parasellar area, left lacrimal gland and right frontal bone. Chest CT revealed bilateral pulmonary masses. The pathological diagnosis was necrotizing granuloma and vasculitis. Nine months after the diagnosis, the right eye was involved. This case report presents a rare manifestation of blinding necrotizing sarcoid granulomatosis that had responded to steroid therapy, but had a relapsing clinical course.
Cohen
Yuval
Y
Department of Ophthalmology, Assaf Harofeh Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Israel. yuvalc@netvision.net.il
Hartmann
Benjamin
B
Shoshani
Nadav
N
Hartstein
Morris
M
Stav
David
D
Avni
Isaac
I
D000368:Aged; D001766:Blindness / Q000209:etiology*; D006099:Granuloma / Q000000981:diagnostic imaging*; D006801:Humans; D008297:Male; D009886:Ophthalmoplegia / Q000209:etiology*; D011859:Radiography; D012008:Recurrence; D017565:Sarcoidosis, Pulmonary / Q000000981:diagnostic imaging*; D014657:Vasculitis / Q000000981:diagnostic imaging*