Document Detail


Magnetic resonance imaging of pachymeningeal enhancement in Vogt-Koyanagi-Harada disease.
MedLine Citation:
PMID:  20198496     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
Vogt-Koyanagi-Harada (VKH) disease is a systemic disease consisting of bilateral granulomatous panuveitis combined with cutaneous and neurologic manifestations. However, there have been few reports of brain magnetic resonance imaging (MRI) in VKH disease. A 54-year-old Korean woman presented with severe periorbital pain, blurred vision and meningismus. Ophthalmologic examination disclosed bilateral optic disc edema with peripapillary nerve fiber hemorrhages. Lumbar puncture revealed monocytic pleocytosis. After a diagnosis of VKH disease was made, the patient was treated with high-dose corticosteroid. Brain MRI showed diffusely thickened posterior ocular walls with retinal detachment and perineural infiltrative changes along the optic nerves and adjacent pachymeningeal enhancement of the anterior temporal lobes bilaterally. We report a case of VKH disease with panuveitis and meningeal involvement of the anterior temporal lobe detected by brain MRI.
Authors:
Hyun Jeong Han; Hye Yun Kim; Jong-Ho Park; Eun Ja Lee; Do Gyun Kim; Dong-Ick Shin
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Publication Detail:
Type:  Journal Article     Date:  2010-03-03
Journal Detail:
Title:  Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology     Volume:  31     ISSN:  1590-3478     ISO Abbreviation:  Neurol. Sci.     Publication Date:  2010 Dec 
Date Detail:
Created Date:  2010-11-08     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100959175     Medline TA:  Neurol Sci     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  785-8     Citation Subset:  IM    
Affiliation:
Department of Neurology, College of Medicine, Myongji Hospital, Kwandong University, Gyeonggi-do, Korea. neurohan@kd.ac.kr
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