Re-evaluation of Magnetic Resonance and Computerised Tomographic Imaging in Neuro-Ophthalmic Patients in an Academic Centre

Clarence G. J. Koekoek, Linda C. Meiners, Jan Willem R. Pott*

*Corresponding author for this work

    Research output: Contribution to journalArticleAcademicpeer-review

    Abstract

    The aim of the study is to report the frequency of missed diagnoses on magnetic resonance and computerised tomographic imaging in neuro-ophthalmic patients who were referred to an academic ophthalmology department, with apparent normal imaging. The authors included all neuro-ophthalmic patients, referred to their department during a 5 1/2-year period. The neuroimaging of these patients were reviewed by a neuro-ophthalmologist side by side with a neuro-radiologist. In the study period, 75 neuro-ophthalmic patients were referred with an apparent normal scan. Re-evaluation of these images gave a diagnosis in 11 patients (15%). Meningiomas were missed most frequently. In half of these patients, no contrast was used in the primary studies. The authors conclude that neuro-ophthalmic pathology can easily be missed on routine neuroimaging studies.

    Original languageEnglish
    Pages (from-to)14-19
    Number of pages6
    JournalNeuro-Ophthalmology
    Volume36
    Issue number1
    DOIs
    Publication statusPublished - Feb-2012

    Keywords

    • Meningioma
    • missing diagnosis
    • neuro-imaging
    • neuro-ophthalmology
    • ORBITAL DISEASE
    • MENINGIOMAS

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