Tram-track and doughnut-shaped enhancements of the optic nerve sheath in axial and coronal magnetic resonance imaging (MRI) views, respectively, play crucial roles in the diagnosis of optic nerve sheath meningioma (ONSM). However, this finding is not specific to ONSM since it can also be observed in optic perineuritis (OPN). Here we report a 42-year-old female with ONSM who presented with clinical and MRI findings similar to those of OPN.
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Freiburg Neuropathology Case Conference: Progressive Optic Nerve Lesion Over a 16-Year Period I. E. Duman Kavus, R. Sankowski, R. Rölz, A. Dressing, M. Prinz, H. Urbach, D. Erny, C. A. Taschner Clinical Neuroradiology.2025; 35(1): 215. CrossRef