The ophthalmologic signs in case of C1 neurinoma without hydrocephalus - case report

We present a case of the patient suffering from the tumor of cranio-spinal junction in whom a wide spectrum of ophthalmic and neuroophtalmic signs was noted.

The comprehensive neuro-ophthalmic examination were performed (pupillary reactions, visual activity, fundus ophthalmoloscopy, intraocular pressures, eye movements, visual field, MRI, MR angiography). Additionally immunohistochemistry and laboratory tests were made.

The case of 24 years male with peripapillary subretinal hemorrhage, that occurred after a surgical excision of a tumor at cranio-cervical junction. The mechanism of the dynamics of the expanding intracranial space occupying processes is also discussed.

Space occupying lesion of the level of cranio-spinal junction causes vascular changes in the fundus of the eye of the high dynamic and diversity. Surgical decompression in such cases is a maneuver of choice to maintain the reversibility of changes if proceeded in early stage.