J Clin Neurol.  2015 Oct;11(4):404-406. 10.3988/jcn.2015.11.4.404.

Acute-Onset Altitudinal Visual Field Defect Caused by Optic Canal Meningioma

Affiliations
  • 1Department of Neurology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. sukwon@amc.seoul.kr
  • 2Department of Neurology, Veterans Health Service Medical Center, Seoul, Korea.
  • 3Department of Ophthalmology, Gangneung Asan Hospital, University of Ulsan College of Medicine, Seoul, Korea.

Abstract

No abstract available.


MeSH Terms

Meningioma*
Visual Fields*

Figure

  • Fig. 1 Serial Humphrey perimetries and high-resolution MRI of compressive optic neuropathy with a monocular inferior altitudinal visual field defect (VFD). A: Initial Humphrey perimetry shows an inferior altitudinal VFD in the left eye that is more severe on the nasal side than on the temporal side. Follow-up perimetry demonstrates an aggravated VFD and subsequent recovered visual field after surgery. B: Axial contrast-enhanced (CE) T1-weighted MRI with fat suppression (FS) showing an optic nerve meningioma (arrow), which is not clearly defined on T2-weighted and noncontrast T1-weighted images. C: Coronal T1-weighted MRI showing a meningioma (arrow) on the optic canal compressing the optic nerve in a medial downward direction. D: Schematic representation showing the VFD presenting according to the direction of the optic nerve compression.


Reference

1. Hayreh SS, Zimmerman B. Visual field abnormalities in nonarteritic anterior ischemic optic neuropathy: their pattern and prevalence at initial examination. Arch Ophthalmol. 2005; 123:1554–1562.
Article
2. Traustason OI, Feldon SE, Leemaster JE, Weiner JM. Anterior ischemic optic neuropathy: classification of field defects by Octopus automated static perimetry. Graefes Arch Clin Exp Ophthalmol. 1988; 226:206–212.
Article
3. Balcer LJ. Clinical practice. Optic neuritis. N Engl J Med. 2006; 354:1273–1280.
4. Dutton JJ. Optic nerve sheath meningiomas. Surv Ophthalmol. 1992; 37:167–183.
Article
5. Cestari DM, Rizzo JF 3rd. The neuroophthalmic manifestations and treatment options of unruptured intracranial aneurysms. Int Ophthalmol Clin. 2004; 44:169–187.
Article
6. Vanroose E, Marchau M, Dehaene I, Lammens M. Altitudinal hemianopia; a clinical and anatomical entity or a mere coincidence? Case report and review of literature. Acta Neurol Belg. 1990; 90:254–264.
7. Hayreh SS. Posterior ischaemic optic neuropathy: clinical features, pathogenesis, and management. Eye (Lond). 2004; 18:1188–1206.
Article
8. Shapey J, Sabin HI, Danesh-Meyer HV, Kaye AH. Diagnosis and management of optic nerve sheath meningiomas. J Clin Neurosci. 2013; 20:1045–1056.
Article
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