Abstract

A 49-year-old previously healthy woman presented with acute painless visual loss in the right eye, a right relative afferent pupillary defect, and a normal fundus examination. She was diagnosed with retrobulbar “optic neuritis” and given a course of intravenous steroids. Despite treatment, however, she continued to lose vision and serial visual field testing confirmed a junctional scotoma in the fellow eye. Cranial magnetic resonance imaging (MRI) showed a mass at the junction between the right optic nerve and the anterior aspect of the chiasm and a right frontal lesion that proved to be multicentric glioblastoma multiforme. Clinicians should be aware of the possibility of aggressive neoplasm in the differential diagnosis of retrobulbar optic neuritis.

Original languageEnglish (US)
Pages (from-to)112-116
Number of pages5
JournalNeuro-Ophthalmology
Volume42
Issue number2
DOIs
StatePublished - Mar 4 2018

Keywords

  • Glioblastoma multiforme
  • malignant optic nerve glioma of the adult
  • optic nerve tumour
  • optic neuritis

ASJC Scopus subject areas

  • Ophthalmology
  • Clinical Neurology

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