Acute, severe, symmetric visual loss with cecocentral scotomas due to olfactory groove meningioma.
Cecocentral scotomas are a hallmark of toxic, metabolic, and hereditary optic neuropathies, but are rarely associated with compressive processes. Acute visual loss due to a compressive optic neuropathy by a benign tumor is unusual unless intratumoral hemorrhage or infarction occurs. A case of acute, severe, remitting, symmetrical visual loss with cecocentral scotomas, initially thought to be of toxic etiology, proved to be due to a typical suprasellar meningioma originating in the olfactory groove. A history of olfactory disturbance with visual loss should prompt neuroradiologic investigation despite atypical neuro-ophthalmic features.
D000328:Adult; D001921:Brain / Q000000981:diagnostic imaging; D005004:Ethmoid Bone; D006801:Humans; D008297:Male; D008579:Meningioma / Q000150:complications*; D009408:Nerve Compression Syndromes / Q000209:etiology*; D009900:Optic Nerve / Q000503:physiopathology*; D012607:Scotoma / Q000209:etiology*; D012888:Skull Neoplasms / Q000150:complications*; D014057:Tomography, X-Ray Computed; D014786:Vision Disorders / Q000209:etiology*