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Adult nasal glioma presenting with visual loss
A Majithia1, S H Liyanage, R Hewitt
1Department of Otolaryngology, Charing Cross Hospital, London, UK. anoojmajithia@hotmail.com
The Journal of Laryngology and Otology
|February 25, 2010
Summary
This case study details a rare adult nasal glioma presenting with vision loss and proptosis. Conservative management with dexamethasone successfully resolved symptoms, highlighting a unique presentation and treatment approach.
Area of Science:
- Neurology
- Ophthalmology
- Pathology
Background:
- Nasal gliomas are rare congenital tumors, typically diagnosed in infancy.
- Adult presentation of nasal gliomas is exceptionally uncommon, particularly with neurological and ophthalmological sequelae.
Observation:
- A 41-year-old woman presented with bilateral proptosis, reduced visual acuity, and color vision loss.
- Imaging revealed a nasal mass extending into the anterior cranial fossa with optic nerve swelling.
- Biopsy confirmed the diagnosis of nasal glioma.
Findings:
- Intravenous dexamethasone treatment led to resolution of proptosis and significant visual recovery.
- The nasal glioma was considered an incidental finding, not the primary cause of symptoms.
Implications:
- This case expands the clinical spectrum of adult nasal gliomas.
- It underscores the importance of comprehensive neuro-ophthalmological evaluation in suspected sinonasal masses.
- Conservative management may be effective for incidentally discovered nasal gliomas causing transient visual disturbances.
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