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

• Kim SM
• Lee J
• Joe SG
• Kim JS
• Kwon SU

• KMID: 2179765
• DOI: http://doi.org/10.3988/jcn.2015.11.4.404

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.

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.

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.

5. Cestari DM, Rizzo JF 3rd. The neuroophthalmic manifestations and treatment options of unruptured intracranial aneurysms. Int Ophthalmol Clin. 2004; 44:169–187.

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.

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.