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Case Reports
Orbital involvement as the initial manifestation of sarcoidosis: magnetic resonance imaging findings.
- Z A Shaikh, R Bakshi, S J Greenberg, E J Fine, A Shatla, and N S Lincoff.
- Department of Neurology, University at Buffalo, State University of New York, School of Medicine and Biomedical Sciences, Buffalo, NY, USA.
- J Neuroimaging. 2000 Jul 1; 10 (3): 180-3.
AbstractA 74-year-old man had diplopia, painful right ophthalmoplegia, proptosis, conjunctival injection, and facial skin lesions. Magnetic resonance imaging (MRI) revealed infiltration of the right intraorbital adipose tissue. Lesions were mixed low- and high-signal on T2-weighted images and enhanced on fat-suppressed T1-weighted postcontrast images. A skin biopsy revealed numerous noncaseating granulomas consistent with sarcoidosis. Treatment with corticosteroids and chlorambucil led to a full clinical recovery. Sarcoidosis should be considered in the evaluation of orbital pseudotumor in elderly patients, even if no systemic manifestations of sarcoidosis are present.
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