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Optic Nerve Sheath Meningocele: A Case Report.
E Halimi1, O Wavreille1, R Rosenberg1
1Service des Explorations de la Vision et Neuro-Opthalmologie, Hôpital Roger Salengro CHRU, Lille France.
Neuro-Ophthalmology (Aeolus Press)
|February 7, 2017
Summary
Bilateral optic nerve sheath meningocele, a rare condition causing cerebrospinal fluid buildup around the optic nerve, was diagnosed in a woman. Clinical and imaging studies confirmed lesion stability over five years.
Area of Science:
- Ophthalmology
- Neurology
- Radiology
Background:
- Optic nerve sheath meningocele is a rare condition characterized by cerebrospinal fluid accumulation within the optic nerve sheath.
- Diagnosis often relies on characteristic symptoms and advanced imaging techniques.
Observation:
- A 39-year-old woman presented with headaches, leading to the discovery of bilateral optic nerve sheath meningoceles during a routine examination.
- The condition was asymptomatic apart from the headaches, with no significant visual impairment noted.
Findings:
- Magnetic resonance imaging (MRI) confirmed the cystic enlargement of the optic nerve sheath, consistent with meningocele.
- A 5-year follow-up demonstrated clinical and imaging stability of the bilateral lesions.
Implications:
- This case highlights the importance of MRI in diagnosing optic nerve sheath meningocele.
- The findings support a conservative management approach for stable, asymptomatic lesions and provide a basis for reviewing therapeutic strategies.
