Muslin-induced optic arachnoiditis ( Gauzoma ) : findings on CT and MR

We report a case with a paraophthalmic aneurysm that was wrapped with muslin because it was unclippable. Six months after wrapping, the patient developed gradual vision loss involving the ipsilateral eye. Both CT and MR studies demonstrated a loculated fluid collection with marked surrounding enhanc...

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Veröffentlicht in:Journal of computer assisted tomography 1993-05, Vol.17 (3), p.485-487
Hauptverfasser: FELSBERG, G. J, TIEN, R. D, HAPLEA, S, OSUMI, A. K
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container_issue 3
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container_title Journal of computer assisted tomography
container_volume 17
creator FELSBERG, G. J
TIEN, R. D
HAPLEA, S
OSUMI, A. K
description We report a case with a paraophthalmic aneurysm that was wrapped with muslin because it was unclippable. Six months after wrapping, the patient developed gradual vision loss involving the ipsilateral eye. Both CT and MR studies demonstrated a loculated fluid collection with marked surrounding enhancement in the region of the previous surgery. Craniotomy revealed an abscess centered in the region of the aneurysmal wrapping. Pathological diagnosis was consistent with a foreign-body reaction with acute and chronic inflammation. Postoperatively the patient showed improvement in vision. We describe the MR findings in this case of muslin-induced optic arachnoiditis ("gauzoma").
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Pathological diagnosis was consistent with a foreign-body reaction with acute and chronic inflammation. Postoperatively the patient showed improvement in vision. We describe the MR findings in this case of muslin-induced optic arachnoiditis ("gauzoma").</abstract><cop>Hagerstown, MD</cop><pub>Lippincott</pub><pmid>8491918</pmid><doi>10.1097/00004728-199305000-00030</doi><tpages>3</tpages></addata></record>
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subjects Abscess - diagnosis
Abscess - diagnostic imaging
Abscess - etiology
Adult
Arachnoiditis - diagnosis
Arachnoiditis - diagnostic imaging
Arachnoiditis - etiology
Biological and medical sciences
Diseases of visual field, optic nerve, optic chiasma and optic tracts
Female
Foreign-Body Reaction - diagnosis
Foreign-Body Reaction - diagnostic imaging
Foreign-Body Reaction - etiology
Humans
Intracranial Aneurysm - diagnostic imaging
Intracranial Aneurysm - surgery
Magnetic Resonance Imaging
Medical sciences
Ophthalmology
Optic Chiasm
Optic Nerve Diseases - diagnosis
Optic Nerve Diseases - diagnostic imaging
Optic Nerve Diseases - etiology
Postoperative Complications
Textiles
Tomography, X-Ray Computed
title Muslin-induced optic arachnoiditis ( Gauzoma ) : findings on CT and MR
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