Work

Intraosseous sarcoidosis mimicking orbital apex meningioma: Report of a case

Year: 2026

Type: article

Abstract: Purpose: In this case report, we present a patient with an intraosseous mass causing compressive left optic neuropathy that was determined to be intraosseous sarcoidosis masquerading as a meningioma. Observations: A 72 year old male presented with vision loss in the left eye following recent cataract surgery. The patient underwent a modified left orbitozygomatic craniotomy for gross total resection and debulking of the left sphenoid wing/clinoidal intraosseous mass and decompression of the left optic nerve. Postoperatively, his vision was stable with visual acuity of the left eye 20/80, with a persistent positive relative afferent pupillary defect. Conclusion and importance: This case highlights the importance of adding sarcoidosis to the differential diagnosis of any intracranial osseous pathology causing vision loss, even in the absence of systemic disease.

Source: American Journal of Ophthalmology Case Reports

DOI: 10.1016/j.ajoc.2026.102677

Authors: Brandon Chou, Eyas Hattab, Josh Abecassis, Jeremy Clark

Institution: University of Louisville

Language: English

Topic: Sarcoidosis and Beryllium Toxicity Research

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,590