BIG MUSCLES AND BIG-NERVES

For 11 years, a 50-year-old woman with euthyroid Graves' disease exper ienced intermittent exacerbations of her orbitopathy associated with a decline in visual acuity. On each occasion, treatment with systemic c orticosteroids led to prompt recovery of vision. Upon referral for con sideration for orbital decompressive surgery, computed tomography and magnetic resonance imaging scanning detected bilateral optic-nerve she ath meningiomas, as well as typical findings of Graves' disease. Orbit al radiation therapy led to stabilization of visual function and orbit al findings, eliminating the need for systemic steroids. To our knowle dge, this is the first reported case of Graves' disease associated wit h bilateral optic nerve sheath meningiomas. (C) 1997 by Elsevier Scien ce Inc. All rights reserved.