Perineuritis or infiltration of optic nerve sheath? A presentation of diffuse large B cell Gastric lymphoma

Optic perineuritis is an inflammatory disorder involving the optic nerve sheath.It is currently considered as a part of idiopathic orbital inflammatory disease which also includes dacryoadenitis, orbital myositis, superior orbital fissure, and cavernous sinus syndrome (Tolosa hunt syndrome).As it is idiopathic, Dog Tag Necklace it is considered a diagnosis of exclusion.

Another important differential is optic nerve lymphoma.Isolated optic nerve lymphoma associated PURE TART CHERRY JUICE with systemic involvement has been described in literature.We report a case that presented as third nerve palsy but later on developed central retinal vein occlusion and was ultimately diagnosed as primary gastric lymphoma of diffuse large B cell type.

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