Bilateral optic perineuritis idiophatic: presentation of a clinical case
Bilateral optic perineuritis idiophatic: presentation of a clinical case
Abstract
ABSTRACT Introduction: Optic perineuritis (PNO) is a rare inflammatory disorder that affects the optic nerve sheath, the cause of which may be idiopathic, infectious and/or autoimmune. The age of presentation is between 40 and 60 years, more frequently in women and with unilateral involvement, with bilateral presentation being exceptional. Case presentation: 82-year-old patient referred by an outpatient ophthalmology clinic to a hospital institution in the city of Medellín, Colombia, with a diagnostic impression of ischemic optic neuropathy due to clinical symptoms for 12 days with binocular horizontal diplopia, left frontotemporal headache of mild intensity and alterations in bilateral visual acuity. During her stay, she required help for diagnosis such as contrast-enhanced nuclear magnetic resonance imaging of the brain and orbit, which showed classic signs of bilateral optic perineuritis of an etiology to be clarified. Complementary serological and cerebrospinal fluid studies were performed that ruled out secondary causes, demonstrating a condition compatible with bilateral optic perineuritis of idiopathic origin. Discussion: PNO is a rare entity whose real prevalence is not clear worldwide. The most common clinical presentation is unilateral, of idiopathic origin, in patients between 40 and 60 years of age, with classic clinical signs and symptoms; Below, an exceptional case is presented that presented an atypical clinical picture with difficult diagnosis. Conclusions: This pathology is rare with a variable clinical behavior, which can present with binocular involvement as an uncommon presentation, being the most common cause of idiopathic origin. Keywords: Optical perineuritis, Idiopathic, Resonancia magnética nuclear, Visual Acuity, Optic Nerve, Orbit, Ophthalmology.Downloads
Published
2024-06-08
How to Cite
Prado-Molina, D. G., Agudelo-Quintero, E., Serna-Trejos, J. S., Bermúdez–Moyano, S. G., & Quijano–Navarrete, M. (2024). Bilateral optic perineuritis idiophatic: presentation of a clinical case: Bilateral optic perineuritis idiophatic: presentation of a clinical case. Peruvian Journal of Health Care and Global Health, 8(1). Retrieved from https://revista.uch.edu.pe/index.php/hgh/article/view/278
Issue
Section
Case reports
License
Copyright (c) 2024 Diego Gerardo Prado-Molina, Esteban Agudelo-Quintero, Juan Santiago Serna-Trejos, Stefanya Geraldine Bermúdez–Moyano, Melisa Quijano–Navarrete
![Creative Commons License](http://i.creativecommons.org/l/by/4.0/88x31.png)
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
- The authors will retain their copyright and will guarantee to the journal right of first publication of their work, which will simultaneously be under a Creative Commons Attribution 4.0 License that allows third parties to share the work whenever attribuying their author and first publication in this journal.
- The Author is able to enter into separate, additional contractual arrangements for the nonexclusive distribution of the journal's published version of the Work (e.g., post it to an institutional repository or publish it in a book), as long as there is provided in the document an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post online a pre-publication manuscript (but not the Publisher’s final formatted PDF version of the Work) in institutional repositories or on their Websites prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (see The Effect of Open Access).