Parenchymal Anaplastic Astrocytoma Presenting With Visual Symptoms Due to Bilateral Optic Nerve Sheath Involvement

Parenchymal Anaplastic Astrocytoma Presenting With Visual Symptoms Due to Bilateral Optic Nerve Sheath Involvement

A 23 year old man presented with transient visual obscurations and was found to have optic nerve edema and a thalamic lesion that did not enhance on magnetic resonance imaging. Lumbar puncture opening pressure was normal. Subsequent magnetic resonance images demonstrated optic nerve sheath enhanceme...

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Veröffentlicht in:Journal of neuro-ophthalmology 2013-09, Vol.33 (3), p.313-316
Hauptverfasser: Bui, Kelly M., Farooq, Asim V., Moss, Heather E., Lin, Amy Y., Valyi-Nagy, Tibor, Villano, J. Lee
Format: Artikel
Sprache:eng
Schlagworte:
Brain Neoplasms - diagnosis
Humans
Male
Neoplasms, Neuroepithelial - diagnosis
Optic Chiasm - pathology
Optic Nerve - pathology
Papilledema - etiology
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Zusammenfassung:A 23 year old man presented with transient visual obscurations and was found to have optic nerve edema and a thalamic lesion that did not enhance on magnetic resonance imaging. Lumbar puncture opening pressure was normal. Subsequent magnetic resonance images demonstrated optic nerve sheath enhancement. Pathological diagnosis of the thalamic mass was anaplastic astrocytoma (WHO grade III). Visual symptoms were attributed to spread of high grade parenchymal glioma to the optic nerve sheaths causing intraorbital optic nerve compression.
ISSN:1070-8022
1536-5166
DOI:10.1097/WNO.0b013e318298fab2