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Bilateral optic nerve sheath meningiomas

W M Hart, R M Burde, T G Klingele

Archives of Ophthalmology (Chicago, Ill. : 1960)

|January 1, 1980

Summary

This summary is machine-generated.

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Bilateral optic nerve sheath meningiomas caused progressive vision loss in a patient despite normal initial imaging. Multifocal tumors were discovered after a 15-year decline in vision.

Area of Science:

Ophthalmology
Neurology
Neurosurgery

Background:

Optic nerve sheath meningiomas (ONSMs) are rare tumors arising from glial cells within the optic nerve sheath.
They can present with gradual vision loss, optic disc swelling, and visual field defects.

Observation:

A 35-year-old male presented with incidental bilateral optic disc swelling.
Over 15 years, he experienced progressive, irreversible vision loss.
Opticocillary shunt vessels were noted on both optic discs, with normal neuroradiologic findings initially.

Findings:

Surgical exploration via craniotomy revealed multifocal bilateral optic nerve sheath meningiomas.
The tumors appeared to have arisen from multiple sites along the optic nerves.

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Implications:

This case highlights the potential for delayed diagnosis of ONSMs, even with normal initial imaging.
Multifocal origin of ONSMs can complicate surgical management and prognosis.
Long-term visual monitoring is crucial for patients with suspected or confirmed optic nerve sheath tumors.