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Bilateral Optic Nerve Sheath Meningioma with Intracanalicular and Intracranial Component in a 25-year-old Saudi Patient.

Badr MA, Elkhamary SM, Al Sabbagh S, Al Turjoman A - Middle East Afr J Ophthalmol (2008)

Bottom Line: A meningioma is a benign neoplastic lesion from meningothelial cells of the meninges.They usually involve the intracanalicular portion of the optic nerve but may extend into the optic canal and through it to occupy the intracranial space.The diagnosis was delayed more than six years from initial symptoms.

View Article: PubMed Central - PubMed

Affiliation: Neuro-ophthalmology Division, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia.

ABSTRACT
Bilateral optic nerve sheath meningioma is rare. A meningioma is a benign neoplastic lesion from meningothelial cells of the meninges. They usually involve the intracanalicular portion of the optic nerve but may extend into the optic canal and through it to occupy the intracranial space. We present a case of 25-year-old Saudi female with bilateral optic nerve sheath meningioma. The diagnosis was delayed more than six years from initial symptoms.

No MeSH data available.


Related in: MedlinePlus

(A) Right eye shows pale disc with retinochoroidal collateral; (B) Left eye shows very mild temporal pallor.
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Figure 0001: (A) Right eye shows pale disc with retinochoroidal collateral; (B) Left eye shows very mild temporal pallor.

Mentions: A 25-year-old Saudi female was presented to Neuro-ophthalmology clinic at King Khaled Eye Specialist Hospital, Riyadh, complaining of a gradual vision decrease in the right eye since seven years. During this period, she has been seen in many hospitals and treated with different eye drops. There was no previous history of eye pain, eye trauma or any medical disorders. Recently, she complained of marked deterioration of vision in the right eye with a history of mild intermittent headache. On examination, the best corrected visual acuity (BCVA) was 2/200 in the right eye and 20/25 in the left eye. Extraocular eye movement was normal, saccade and pursuit was normal with no nystagmus. Cranial nerve examination was also found to be normal. The pupillary reaction was sluggish to direct light with relative afferent papillary defect in the right eye and normal in the left eye. Slit lamp examination of the anterior segment was normal in the both eyes. The fundscopic examination showed optic atrophy with retinochoroidal collateral (optociliary shunt) in the right eye and the left optic disc showed mild temporal pallor (Fig 1). Humphrey visual field was done and it showed marked generalized constriction of the visual field in the right eye and mild peripheral visual field depression in the left eye.


Bilateral Optic Nerve Sheath Meningioma with Intracanalicular and Intracranial Component in a 25-year-old Saudi Patient.

Badr MA, Elkhamary SM, Al Sabbagh S, Al Turjoman A - Middle East Afr J Ophthalmol (2008)

(A) Right eye shows pale disc with retinochoroidal collateral; (B) Left eye shows very mild temporal pallor.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3040919&req=5

Figure 0001: (A) Right eye shows pale disc with retinochoroidal collateral; (B) Left eye shows very mild temporal pallor.
Mentions: A 25-year-old Saudi female was presented to Neuro-ophthalmology clinic at King Khaled Eye Specialist Hospital, Riyadh, complaining of a gradual vision decrease in the right eye since seven years. During this period, she has been seen in many hospitals and treated with different eye drops. There was no previous history of eye pain, eye trauma or any medical disorders. Recently, she complained of marked deterioration of vision in the right eye with a history of mild intermittent headache. On examination, the best corrected visual acuity (BCVA) was 2/200 in the right eye and 20/25 in the left eye. Extraocular eye movement was normal, saccade and pursuit was normal with no nystagmus. Cranial nerve examination was also found to be normal. The pupillary reaction was sluggish to direct light with relative afferent papillary defect in the right eye and normal in the left eye. Slit lamp examination of the anterior segment was normal in the both eyes. The fundscopic examination showed optic atrophy with retinochoroidal collateral (optociliary shunt) in the right eye and the left optic disc showed mild temporal pallor (Fig 1). Humphrey visual field was done and it showed marked generalized constriction of the visual field in the right eye and mild peripheral visual field depression in the left eye.

Bottom Line: A meningioma is a benign neoplastic lesion from meningothelial cells of the meninges.They usually involve the intracanalicular portion of the optic nerve but may extend into the optic canal and through it to occupy the intracranial space.The diagnosis was delayed more than six years from initial symptoms.

View Article: PubMed Central - PubMed

Affiliation: Neuro-ophthalmology Division, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia.

ABSTRACT
Bilateral optic nerve sheath meningioma is rare. A meningioma is a benign neoplastic lesion from meningothelial cells of the meninges. They usually involve the intracanalicular portion of the optic nerve but may extend into the optic canal and through it to occupy the intracranial space. We present a case of 25-year-old Saudi female with bilateral optic nerve sheath meningioma. The diagnosis was delayed more than six years from initial symptoms.

No MeSH data available.


Related in: MedlinePlus