Abstract.
We herein describe the MRI findings in a patient clinically diagnosed with primary Sjögren's syndrome (SjS) initially manifested by retrobulbar optic neuritis. A 63-year-old woman suddenly had left ocular pain and progressive visual disturbance. MR T2-weighted images revealed hyperintensity in the left optic nerve, with swelling. Contrast-enhanced T1-weighted images showed no abnormal enhancement. Follow-up MRI 6 months after admission revealed no significant changes in the affected optic nerve. To our knowledge, optic neuritis as a complication of SjS has been reported in ten patients [1, 2, 3, 4, 5, 6] and MRI findings in only one of them [6]. We thought MR images were useful for visualizing optic nerve involvement in SjS and observing its course.
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Kadota, Y., Tokumaru, A., Kamakura, K. et al. Primary Sjögren's syndrome initially manifested by optic neuritis: MRI findings. Neuroradiology 44, 338–341 (2002). https://doi.org/10.1007/s00234-001-0730-6
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DOI: https://doi.org/10.1007/s00234-001-0730-6