Cecocentral scotomas in gliomatosis cerebri

A previously healthy 69-year-old white male presented with slowly progressive, painless loss of vision in both eyes. Bilateral cecocentral scotomas were found, and this was his only chief complaint for 9 months. Signs of progressive neurologic dysfunction ensued, and the patient was followed through a complete neuropathologic study at postmortem examination. To our knowledge, this is the only reported instance of pathologically confirmed gliomatosis cerebri with an initial presentation of bilateral chronic cecocentral scotomas.