Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society
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Case Reports
Pituitary apoplexy causing optic neuropathy and horner syndrome without ophthalmoplegia.
A 47-year-old woman presented with headache, acute monocular vision loss, and ipsilateral Horner syndrome. Apart from the optic neuropathy, all cranial nerve function was intact. ⋯ The surgical specimen was consistent with pituitary apoplexy. The combination of headache, acute visual loss, and ipsilateral Horner syndrome without ophthalmoplegia, which may suggest carotid artery dissection, is evidently an unusual manifestation of pituitary apoplexy.
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To describe the clinical spectrum and a rational approach to the diagnosis of anterior visual pathway sarcoidosis. ⋯ Anterior visual pathway disease may be underrecognized as a presentation of sarcoidosis. Classic fundus findings of periphlebitis and optic granuloma are typically absent. An aggressive diagnostic evaluation may help establish the diagnosis early in its course.