title: [Ophthalmoplegia and blindness associated with necrotizing sarcoid granuloma].
abstract: 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.
authors.affiliation: Department of Ophthalmology, Assaf Harofeh Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Israel. yuvalc@netvision.net.il
authors.forename: Yuval
authors.initials: Y
authors.lastname: Cohen
authors.forename: Benjamin
authors.initials: B
authors.lastname: Hartmann
authors.forename: Nadav
authors.initials: N
authors.lastname: Shoshani
authors.forename: Morris
authors.initials: M
authors.lastname: Hartstein
authors.forename: David
authors.initials: D
authors.lastname: Stav
authors.forename: Isaac
authors.initials: I
authors.lastname: Avni
mesh_terms: 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*