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Retinal Findings in Two Patients With Tumefactive Multiple Sclerosis

Neuhouser, Adam BS; Sanders, Riley MD; Burks, John R. MD; Chacko, Joseph MD

Section Editor(s): Ko, Melissa W. MD; Cestari, Dean M. MD

doi: 10.1097/WNO.0000000000000758
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Abstract: Tumefactive multiple sclerosis (TMS) often presents a diagnostic challenge because it can mimic neoplastic, infectious, or ischemic disease. We describe 2 patients with TMS with retinal findings of venous sheathing and bone spicule pigmentation. Mechanisms for such findings are discussed.

Department of Ophthalmology, Jones Eye Institute, Little Rock, Arkansas.

Address correspondence to Adam Neuhouser, BS, Department of Ophthalmology, Jones Eye Institute, 4301 West Markham, Mail slot 523, Little Rock, AR 72205; E-mail:

The authors report no conflicts of interest.

© 2019 by North American Neuro-Ophthalmology Society