Coincidental Optic Nerve Meningioma and Thyroid Eye Disease.
A 57-year-old woman with diabetes mellitus, hypertension, obesity, and Graves disease presented with clinical evidence of thyroid eye disease (TED) and optic neuropathy. She was referred when a tapered dose of steroids prompted worsening of her TED. CT and MRI were consistent with TED and bilateral optic nerve meningioma. To the authors' knowledge, this is the first reported case of concurrent TED and unsuspected bilateral optic nerve meningioma. When investigating the etiology of TED-associated optic neuropathy, careful attention to orbital imaging is required because coexisting pathology may exist.
*Department of Ophthalmology, Edward S Harkness Eye Institute, and †Department of Radiology, Columbia University College of Physicians and Surgeons, New York; and ‡Department of Ophthalmology, Albert Einstein College of Medicine, Bronx, New York, U.S.A.
Aakriti
A
Garg
Payal
P
Patel
Angela
A
Lignelli
Edward
E
Baron
Michael
M
Kazim
D003131:Combined Modality Therapy; D019299:Decompression, Surgical; D003924:Diabetes Mellitus, Type 2 / Q000150:complications; D005260:Female; D005938:Glucocorticoids / Q000627:therapeutic use; D006111:Graves Disease / Q000150:complications; D049970:Graves Ophthalmopathy / Q000175:diagnosis* / Q000628:therapy; D006801:Humans; D006973:Hypertension / Q000150:complications; D008279:Magnetic Resonance Imaging; D008579:Meningioma / Q000175:diagnosis* / Q000628:therapy; D008875:Middle Aged; D009765:Obesity / Q000150:complications; D019574:Optic Nerve Neoplasms / Q000175:diagnosis* / Q000628:therapy; D014057:Tomography, X-Ray Computed; D014792:Visual Acuity / Q000502:physiology
D005938:Glucocorticoids