case_images: PMC10827368_01
case_images: Visual field test for a young female patient with neurofibromatosis type 2 demonstrated a small central scotoma in the left eye.
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case_images: PMC10827368_01_CRIOPM2024-9133929.001.jpg
case_images: fig1
case_images: Automated perimetry (Haag-Streit International, Koeniz, Switzerland; G1 TOP test strategy) revealed a small central scotoma in the left eye (Figure 1).
case_images: Fundus imaging and optical coherence tomography (OCT). (a) Swollen optic disc in the right eye. (b) Cotton wool spot (white arrow) and grey-white retinal lesion (red arrows) in the left eye. (c) OCT of the left eye shows the hyperreflective bands in the inner nuclear layer (red arrowhead). (d) OCT of the left eye shows the hyperreflective lesion (white arrowhead) in the superficial layer of the retina and hyperreflective bands in the inner nuclear layer (red arrowhead).
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case_images: PMC10827368_01_CRIOPM2024-9133929.002.jpg
case_images: fig2
case_images: Fundus examination revealed a swollen optic disc in the right eye, parafoveal grey-white deep retinal lesion, and cotton wool spot (CWS) in the posterior pole of the left eye (Figures 2(a) and 2(b)). Swept-source optical coherence tomography (SS-OCT) of the macula of the left eye demonstrated the hyperreflective bands in the inner nuclear layer consistent with paracentral acute middle maculopathy (PAMM) (Figures 2(c) and 2(d)).
case_images: Neuroimaging of the patient with neurofibromatosis type 2. (a) Bilateral solid masses in the cerebellopontine angles on axial enhanced MRI (white arrows). (b) Axial enhanced MRI shows a parasellar lesion (red arrow). (c) Sagittal T2-weighted MRI of the spine shows a focal hypointense abnormality at the C2-C4 level (blue arrow). (d) Brain CT shows calcified lesions in the right temporal lobe (green arrow) and normal optic nerves.
case_images: CRIOPM2024-9133929.003.jpg
case_images: PMC10827368_01_CRIOPM2024-9133929.003.jpg
case_images: fig3
case_images: The brain MRI with and without enhancement showed bilateral acoustic neuroma, parasellar meningioma, and cervical extramedullary tumor (Figures 3(a)-3(c)). Orbital CT revealed normal contours of bilateral optic nerves and calcified lesions in the right temporal lobe (Figure 3(d)).