The importance of ophthalmic signs in the diagnosis of suprasellar meningioma – A case report

  • AK Tan
  • Mallika PS
  • Aziz S
  • Asok T
  • Intan G
Keywords: Unilateral visual loss, visual field defects, suprasellar meningioma, chiasmal lesion

Abstract

A forty-two year old lady presented with gradual, painless, progressive blurring of vision of her left eye for four months. Therewere no other associated ocular or systemic complaints. Examination showed decreased visual acuity in both eyes and apale optic disc on the left side. Visual field examination revealed a temporal field defect of the right eye which aroused thesuspicion of an intracranial mass lesion. MRI of her brain revealed a suprasellar meningioma. We would like to emphasizethe importance of visual field examination of both eyes in patients presenting with unilateral loss of vision.

References

American Academy of Ophthalmology. Basic Science and Clinical Course. Section 5: Neuro-ophthalmology. 2005:83.

Lopes MBS, VandenBerg SR, Scheithauer BW. Chapter 9: Histopathology, immunohistochemistry and ultrastructure of brain tumors. In: Kaye AH, Laws ER. Brain Tumors, 2nd edition, London, Churchill Livingstone, 2001:177.

DeMonte F, Marmor E, Al-Mefty O. Chapter 36: Meningiomas. In: Kaye AH, Laws ER. Brain Tumors, 2nd edition, London, Churchill Livingstone, 2001:page 719.

Nor Hayati O, Puri R. The incidence of central nervous system (CNS) lesions in Malaysia: A histopathological study of 1064 cases from the year 1991 till 1994. Malaysian Journal of Medical Sciences. 1998;5(1):31-8.

Wong SH, Chan SH. Meningioma – the Sarawak General Hospital experience. Med J Malaysia. 2002;57(4):467-73.

King JO. Chapter 12: Neuro-ophthalmology of brain tumors. In: Kaye AH, Laws ER. Brain Tumors, 2nd edition, London, Churchill Livingstone, 2001:256.

DeMonte F, Marmor E, Al-Mefty O. Chapter 36: Meningiomas. In: Kaye AH, Laws ER. Brain Tumors, 2nd edition, London, Churchill Livingstone, 2001:727.

American Academy of Ophthalmology. Basic Science and Clinical Course. Section 5: Neuro-ophthalmology. 2005:86.

Susanna R, Vessani RM. New findings in the evaluation of the optic disc in glaucoma diagnosis. Curr Opin Ophthalmol. 2007;18(2):122-8.

Published
2009-03-31
How to Cite
TanA., PSM., SA., TA., & GI. (2009). The importance of ophthalmic signs in the diagnosis of suprasellar meningioma – A case report. Malaysian Family Physician, 4(1), 4. Retrieved from https://www.e-mfp.org/ojs3/index.php/MFP/article/view/169
Section
Original Articles