Gliomatosis cerebri - A rare cause of bilateral blindness

We describe a rare case of gliomatosis cerebri (GC) with bilateral blindness. A 45-year-male presented with gradual painless loss of vision both eyes (BE), with generalised tonic–clonic seizures. On examination, the patient denied light perception BE, with sluggishly reacting pupil. Fundus examinati...

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Bibliographic Details
Main Authors: Priyanka Sekar, P Rajarajeswary, Hannah Ranjee Prasanth, T S Ishwarya, Renuka Srinivasan, Ramesh Kannan
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2020-01-01
Series:TNOA Journal of Ophthalmic Science and Research
Subjects:
Online Access:http://www.tnoajosr.com/article.asp?issn=2589-4528;year=2020;volume=58;issue=4;spage=304;epage=306;aulast=Sekar
Description
Summary:We describe a rare case of gliomatosis cerebri (GC) with bilateral blindness. A 45-year-male presented with gradual painless loss of vision both eyes (BE), with generalised tonic–clonic seizures. On examination, the patient denied light perception BE, with sluggishly reacting pupil. Fundus examination revealed papilledema and absent foveal reflex. Magnetic resonance imaging showed features of diffuse infiltrating glial tumor suggesting GC. Visual impairment can occur rarely due to optic nerve involvement, however bilateral cases has not been reported. Early recognition of GC may allow preservation of vision through focal radiotherapy to the optic nerve.
ISSN:2589-4528
2589-4536