Atypical optic neuritis as the presenting feature of testicular malignancy: Rare case report with review of literature
A 23-year-old male presented with unilateral acute onset, painless, progressive diminution of vision. Initial clinical and radiological findings were consistent with optic neuritis. The patient was started on pulse steroids leading to visual recovery. However, the patient relapsed within one week. R...
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doaj-dcc21711c8fa488da8ec956cb22880bf2020-11-25T03:00:37ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892020-01-016881696169810.4103/ijo.IJO_2256_19Atypical optic neuritis as the presenting feature of testicular malignancy: Rare case report with review of literatureAnju MeenaHarinder S SethiMukesh JoshiMayuresh NaikA 23-year-old male presented with unilateral acute onset, painless, progressive diminution of vision. Initial clinical and radiological findings were consistent with optic neuritis. The patient was started on pulse steroids leading to visual recovery. However, the patient relapsed within one week. Repeat imaging revealed metastatic lesions near the orbital apex. Orbit is an unusual site of metastasis from testicular tumors and only 3 cases of testicular synovial sarcoma with orbital metastasis have been reported. A thorough systemic evaluation should be done in cases of atypical and relapsing optic neuritis to rule out the causes of optic neuritis (ON) masquerade syndrome.http://www.ijo.in/article.asp?issn=0301-4738;year=2020;volume=68;issue=8;spage=1696;epage=1698;aulast=Meenaatypical optic neuritispulse steroidstesticular synovial sarcoma |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Anju Meena Harinder S Sethi Mukesh Joshi Mayuresh Naik |
spellingShingle |
Anju Meena Harinder S Sethi Mukesh Joshi Mayuresh Naik Atypical optic neuritis as the presenting feature of testicular malignancy: Rare case report with review of literature Indian Journal of Ophthalmology atypical optic neuritis pulse steroids testicular synovial sarcoma |
author_facet |
Anju Meena Harinder S Sethi Mukesh Joshi Mayuresh Naik |
author_sort |
Anju Meena |
title |
Atypical optic neuritis as the presenting feature of testicular malignancy: Rare case report with review of literature |
title_short |
Atypical optic neuritis as the presenting feature of testicular malignancy: Rare case report with review of literature |
title_full |
Atypical optic neuritis as the presenting feature of testicular malignancy: Rare case report with review of literature |
title_fullStr |
Atypical optic neuritis as the presenting feature of testicular malignancy: Rare case report with review of literature |
title_full_unstemmed |
Atypical optic neuritis as the presenting feature of testicular malignancy: Rare case report with review of literature |
title_sort |
atypical optic neuritis as the presenting feature of testicular malignancy: rare case report with review of literature |
publisher |
Wolters Kluwer Medknow Publications |
series |
Indian Journal of Ophthalmology |
issn |
0301-4738 1998-3689 |
publishDate |
2020-01-01 |
description |
A 23-year-old male presented with unilateral acute onset, painless, progressive diminution of vision. Initial clinical and radiological findings were consistent with optic neuritis. The patient was started on pulse steroids leading to visual recovery. However, the patient relapsed within one week. Repeat imaging revealed metastatic lesions near the orbital apex. Orbit is an unusual site of metastasis from testicular tumors and only 3 cases of testicular synovial sarcoma with orbital metastasis have been reported. A thorough systemic evaluation should be done in cases of atypical and relapsing optic neuritis to rule out the causes of optic neuritis (ON) masquerade syndrome. |
topic |
atypical optic neuritis pulse steroids testicular synovial sarcoma |
url |
http://www.ijo.in/article.asp?issn=0301-4738;year=2020;volume=68;issue=8;spage=1696;epage=1698;aulast=Meena |
work_keys_str_mv |
AT anjumeena atypicalopticneuritisasthepresentingfeatureoftesticularmalignancyrarecasereportwithreviewofliterature AT harinderssethi atypicalopticneuritisasthepresentingfeatureoftesticularmalignancyrarecasereportwithreviewofliterature AT mukeshjoshi atypicalopticneuritisasthepresentingfeatureoftesticularmalignancyrarecasereportwithreviewofliterature AT mayureshnaik atypicalopticneuritisasthepresentingfeatureoftesticularmalignancyrarecasereportwithreviewofliterature |
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1724697155365502976 |