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종결 Case No. 483 2018-06-01~2018-06-30
출제자 : 이경식 Hit : 249
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Period 2018-06-01~2018-06-30
Diagnosis Optic disc drusen
Clinical information 56세 남자환자
안와부 외상을 주소로 촬영한 Orbit CT이다.
진단은?
Discussion
Optic disc drusen, or hyaline bodies is usually found incidentally on CT or on follow-up of abnormal fundoscopy.

*Epidemiology
- 0.3-3.7% on radiography
- frequently bilateral
- can be familial and inherited as a dominant trait

*Clinical presentation
- most cases are asymptomatic
- may present episodic visual loss

*Imaging features
vary in size from less than 1 mm to up to 4 mm in diameter and 3 mm in thickness.
CT
- childhood: small and non-mineralized  rarely identified
- elderly patient: mineralization  visible on radiography.

Correct answer

Correct Answer

  • 서지원 연세의대 세브란스병원
  • 김민철 서울을지병원
  • 최규성 서울대학교병원
  • 서종현 울산의대 서울아산병원
  • 강지희 서울대학교병원

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