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A frontal lobe meningioma in a child leading to visual loss.

Sahinoglu-Keşkek N, Soker G, Keşkek ŞÖ, Sahinoglu S, Unal F, Unal F, Cevher S - Case Rep Ophthalmol Med (2015)

Bottom Line: He was diagnosed with intracranial meningioma and referred to neurosurgery clinic.Conclusion.Ophthalmologists should be aware of the fact that papilledema and low vision can be caused by an intracranial tumor which compresses optic chiasm.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology, Adana Numune Training and Research Hospital, 01240 Adana, Turkey.

ABSTRACT
Objective. Meningiomas are benign primary meningeal tumors and are seen rare in children and adolescents. Clinical Presentation and Intervention. A 15-year-old Turkish boy reported a 1-month history of headache and blurred vision in both eyes. His visual acuity was 0.3 in both eyes with papilledema. Magnetic resonance imaging showed a 77 × 97 × 77 mm intracranial-extra-axial frontal lesion which compresses the chiasm. He was diagnosed with intracranial meningioma and referred to neurosurgery clinic. Conclusion. Ophthalmologists should be aware of the fact that papilledema and low vision can be caused by an intracranial tumor which compresses optic chiasm.

No MeSH data available.


Related in: MedlinePlus

Magnetic resonance imaging. Contrast-enhanced axial T2-weighted MRI scan shows cerebrospinal fluid tracking along the optic nerve sheath.
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fig3: Magnetic resonance imaging. Contrast-enhanced axial T2-weighted MRI scan shows cerebrospinal fluid tracking along the optic nerve sheath.

Mentions: A healthy 15-year-old Turkish boy presented with one-month history of headache and visual impairment in both eyes. He visited the neurology department of a hospital one week before, but the results of general physical examination were unremarkable. It was suggested that he visit an ophthalmologist because of his visual disturbance. His best-corrected visual acuity (BCVA) was 0.3 in both eyes. There was papilledema on funduscopic examination (Figure 1). Magnetic resonance imaging (MRI) showed an extra-axial frontal tumoral lesion with intense enhancement (Figure 2). The dimensions of the lesion were measured as 77 × 97 × 77 mm and the lesion was located at superior aspect of the chiasm. MRI scan showed cerebrospinal fluid tracking along the optic nerve sheath which is the sign of increased intracranial pressure (Figure 3). Coronal T2-weighted images showed that the mass was also exerting pressure on the chiasm (Figure 4). Dural tail sign on sagittal T1-weighted images affirmed the diagnosis of meningioma (Figure 5). He was diagnosed with meningioma which compresses the normal brain tissue above the optic chiasm and referred to neurosurgery clinic. Operation was planned urgently. After gross-total resection, the patient progressed well with considerable improvement of his visual function. There has been no surgical or neurological complication recorded immediately after surgery.


A frontal lobe meningioma in a child leading to visual loss.

Sahinoglu-Keşkek N, Soker G, Keşkek ŞÖ, Sahinoglu S, Unal F, Unal F, Cevher S - Case Rep Ophthalmol Med (2015)

Magnetic resonance imaging. Contrast-enhanced axial T2-weighted MRI scan shows cerebrospinal fluid tracking along the optic nerve sheath.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4302350&req=5

fig3: Magnetic resonance imaging. Contrast-enhanced axial T2-weighted MRI scan shows cerebrospinal fluid tracking along the optic nerve sheath.
Mentions: A healthy 15-year-old Turkish boy presented with one-month history of headache and visual impairment in both eyes. He visited the neurology department of a hospital one week before, but the results of general physical examination were unremarkable. It was suggested that he visit an ophthalmologist because of his visual disturbance. His best-corrected visual acuity (BCVA) was 0.3 in both eyes. There was papilledema on funduscopic examination (Figure 1). Magnetic resonance imaging (MRI) showed an extra-axial frontal tumoral lesion with intense enhancement (Figure 2). The dimensions of the lesion were measured as 77 × 97 × 77 mm and the lesion was located at superior aspect of the chiasm. MRI scan showed cerebrospinal fluid tracking along the optic nerve sheath which is the sign of increased intracranial pressure (Figure 3). Coronal T2-weighted images showed that the mass was also exerting pressure on the chiasm (Figure 4). Dural tail sign on sagittal T1-weighted images affirmed the diagnosis of meningioma (Figure 5). He was diagnosed with meningioma which compresses the normal brain tissue above the optic chiasm and referred to neurosurgery clinic. Operation was planned urgently. After gross-total resection, the patient progressed well with considerable improvement of his visual function. There has been no surgical or neurological complication recorded immediately after surgery.

Bottom Line: He was diagnosed with intracranial meningioma and referred to neurosurgery clinic.Conclusion.Ophthalmologists should be aware of the fact that papilledema and low vision can be caused by an intracranial tumor which compresses optic chiasm.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology, Adana Numune Training and Research Hospital, 01240 Adana, Turkey.

ABSTRACT
Objective. Meningiomas are benign primary meningeal tumors and are seen rare in children and adolescents. Clinical Presentation and Intervention. A 15-year-old Turkish boy reported a 1-month history of headache and blurred vision in both eyes. His visual acuity was 0.3 in both eyes with papilledema. Magnetic resonance imaging showed a 77 × 97 × 77 mm intracranial-extra-axial frontal lesion which compresses the chiasm. He was diagnosed with intracranial meningioma and referred to neurosurgery clinic. Conclusion. Ophthalmologists should be aware of the fact that papilledema and low vision can be caused by an intracranial tumor which compresses optic chiasm.

No MeSH data available.


Related in: MedlinePlus