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a Idiopathic intracranial hypertension (pseudotumour cerebri) b Intracranial tumour c Arteritic ischaemic optic neuropathy d Optic neuritis 06 Which one of the following options is NOT likely to be observed in conjunction with the given history and the fundus photograph shown in Image B?
Generally AION is categorised as either arteritic (AAION) or non-arteritic (NAAION).
It should be noted that the arteritic process affects the artery in a non-diffuse or "skip lesion" pattern so that a negative biopsy does not rule out GCA.
Similarly, transient visual obscurations are a feature in papilloedema and arteritic anterior ischaemic optic neuropathy (AION), whereas in non-arteritic AION there are generally no preceding visual symptoms.