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Acute Optic Neuropathy Associated With an Intracranial Mass in a Patient With POEMS syndrome

Moss, Heather E. MD, PhD; Liu, Grant T. MD

Journal of Neuro-Ophthalmology: March 2012 - Volume 32 - Issue 1 - p 45–47
doi: 10.1097/WNO.0b013e318234db5d
Clinical Observation

Abstract: A 43-year-old man with POEMS syndrome (polyneuropathy, organomegaly, endocrinopathy, monoclonal gammopathy, and skin changes), including long-standing optic disc swelling, had sudden painless vision loss in the left eye. Brain MRI revealed an intracranial mass adjacent to the left optic nerve and enhancement of the optic nerve. The mass decreased in size following chemotherapy for myeloma with some recovery of vision. This represents a unique case of optic neuropathy due to presumed plasmacytoma in osteosclerotic IgA myeloma and POEMS syndrome.

Division of Neuro-Ophthalmology, Department of Ophthalmology and Visual Sciences (HEM), University of Illinois Medical Center, Chicago, Illinois

Division of Neuro-Ophthalmology, Departments of Neurology (GTL) and Ophthalmology (GTL), University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania.

The authors report no conflicts of interest.

Address correspondence to Heather E. Moss, MD, PhD, Department of Ophthalmology, University of Illinois (MC 648), 1855 W. Taylor Street, Chicago, IL 60612; E-mail:

© 2012 Lippincott Williams & Wilkins, Inc.