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Rapid bilateral visual loss as the initial clinical manifestation in idiopathic hypertrophic cranial pachymeningitis
Weiyang Shao1,2, Chunyu Tian1, Lixiong Gao1
1Ophthalmology Department The Third Medical Center of Chinese PLA General Hospital Beijing China.
Abstract:
A 59-year-old patient presented with 4-day acute painless bilateral visual loss, MRI results showed dura enhancement of the frontal, anterior cranial fossa. The patient was considered to have idiopathic hypertrophic cranial pachymeningitis based on laboratory tests and MRI data. After treatment with hormones, the visual acuity obviously improved.
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