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A 4 Year Old Boy With Proptosis of Left Eye Teaching NeuroImages Neurology Resident and Fellow Section © 2014 American Academy of Neurology.

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Presentation on theme: "A 4 Year Old Boy With Proptosis of Left Eye Teaching NeuroImages Neurology Resident and Fellow Section © 2014 American Academy of Neurology."— Presentation transcript:

1 A 4 Year Old Boy With Proptosis of Left Eye Teaching NeuroImages Neurology Resident and Fellow Section © 2014 American Academy of Neurology

2 Srinivasan et al. Vignette A 4 year-old male child presented with 1 week history of proptosis of left eye. Examination showed multiple café-au-lait spots on the body. Vision: 6/18 in left eye; normal in right eye

3 © 2014 American Academy of Neurology Srinivasan et al. Imaging

4 © 2014 American Academy of Neurology Srinivasan et al. Optic Nerve Glioma with Perineural Arachnoid Gliomatosis in a patient with Neurofibromatosis-1 MRI revealed left optic nerve glioma with perineural arachnoid gliomatosis (PAG). PAG shows astrocytic proliferation in subarachnoid space surrounding the relatively preserved optic nerve. PAG should be differentiated from optic nerve sheath meningioma.

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