A pregnant pause.
A 23-year-old pregnant woman presented with a rapidly progressive unilateral optic neuropathy. The evaluation was complicated by her being pregnant and the issues surrounding the evaluation and management of the pregnant patient with a neuro-ophthalmic finding is discussed. Eventually an orbital apex lesion was found and proved to be an orbital schwannoma. Rapid growth of an orbital schwannoma should be included in the differential diagnosis of progressive visual loss in a pregnant patient.
Department of Ophthalmology and Visual Sciences, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA.
Emily S
ES
Birkholz
Andrew G
AG
Lee
Jeffrey A
JA
Nerad
Katherine A
KA
Lane
Jurij R
JR
Bilyk
D001766:Blindness / Q000209:etiology / Q000503:physiopathology; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D009442:Neurilemmoma / Q000175:diagnosis* / Q000503:physiopathology / Q000601:surgery; D009901:Optic Nerve Diseases / Q000209:etiology / Q000503:physiopathology; D009918:Orbital Neoplasms / Q000175:diagnosis* / Q000503:physiopathology / Q000601:surgery; D049268:Positron-Emission Tomography; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic; D016634:Radiosurgery; D014792:Visual Acuity / Q000502:physiology; D055815:Young Adult