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Pseudo-pseudo-Foster Kennedy syndrome
M J Gelwan1, M Seidman, M J Kupersmith
1Department of Ophthalmology, New York University Medical Center, New York.
Journal of Clinical Neuro-Ophthalmology
|March 1, 1988
Summary
A rare case of pseudo-pseudo-Foster Kennedy syndrome is presented, involving ischemic optic neuropathy and a tuberculum sella meningioma. This condition highlights the complex interplay between optic nerve compression and visual deficits.
Area of Science:
- Ophthalmology
- Neurology
- Oncology
Background:
- Anterior ischemic optic neuropathy (AION) typically affects one eye, presenting as sudden, painless vision loss.
- Tuberculum sella meningiomas are slow-growing tumors that can compress the optic nerves, leading to progressive visual field defects.
Observation:
- An 80-year-old woman presented with symptoms suggestive of AION in her left eye.
- Her right eye exhibited decreased vision, optic disc pallor, and a visual field defect, initially attributed to cataract.
- Radiological imaging revealed a tuberculum sella meningioma compressing the right optic nerve.
Findings:
- The patient demonstrated signs of both ischemic optic neuropathy and optic nerve compression from a meningioma.
- This unique combination of pathologies in a single patient is termed pseudo-pseudo-Foster Kennedy syndrome.
Implications:
- This case underscores the importance of comprehensive diagnostic evaluation in patients with atypical visual disturbances.
- Recognizing pseudo-pseudo-Foster Kennedy syndrome is crucial for accurate diagnosis and timely management of optic nerve compromise.
- It highlights the potential for overlapping clinical presentations of optic neuropathies from diverse etiologies.