Monocular nasal hemianopia from atypical sphenoid wing meningioma.
Neurogenic monocular nasal field defects respecting the vertical midline are quite uncommon. We report a case of a unilateral nasal hemianopia that was caused by compression of the left optic nerve by a sphenoid wing meningioma. Histological examination revealed that the pathology of the meningioma was consistent with that of an atypical meningioma, which carries a guarded prognosis with increased chance of recurrence. The tumor was debulked surgically, and the patient's visual field defect improved.
Stacy
Rebecca C
RC
Department of Neuro-Ophthalmology, Massachusetts Eye and Ear Infirmary, Boston, Massachusetts, USA. Rebecca_Stacy@meei.harvard.edu
Jakobiec
Frederick A
FA
Lessell
Simmons
S
Cestari
Dean M
DM
D003399:Craniotomy; D005260:Female; D006423:Hemianopsia / Q000209:etiology*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008577:Meningeal Neoplasms / Q000150:complications* / Q000473:pathology* / Q000601:surgery; D008579:Meningioma / Q000150:complications* / Q000473:pathology* / Q000601:surgery; D008875:Middle Aged; D019635:Neurosurgical Procedures; D009900:Optic Nerve / Q000473:pathology* / Q000503:physiopathology; D009901:Optic Nerve Diseases / Q000209:etiology / Q000473:pathology / Q000503:physiopathology; D019292:Skull Base Neoplasms / Q000150:complications / Q000473:pathology / Q000601:surgery; D013100:Sphenoid Bone / Q000473:pathology / Q000601:surgery; D016896:Treatment Outcome; D014795:Visual Pathways / Q000473:pathology / Q000503:physiopathology