title: Concomitant meningioma and glioma within the same optic nerve in neurofibromatosis type 1.
abstract: A patient with neurofibromatosis type 1 and the rare finding of concomitant meningioma and optic pathway glioma within the same optic nerve is presented. A 4-year-old boy was admitted to our hospital with right-sided proptosis. He also had numerous café-au-lait macules and axillary freckling on physical exam. According to National Institutes of Health (NIH) criteria, he met the diagnostic criteria for neurofibromatosis type 1. On magnetic resonance imaging (MRI), a mass originating from the right optic nerve sheath with normal appearance of the optic nerve was observed, which was consistent with optic nerve sheath meningioma. Another mass lesion was observed in the prechiasmatic region of the same optic nerve, which was consistent with optic nerve glioma. Two different types of optic pathway tumors in the same optic nerve is an extraordinary case. It is important to recognize imaging findings of these tumors and make correct diagnosis.
authors: 1Department of Pediatrics, Kocaeli University School of Medicine, Kocaeli, Turkey.
authors: Sema
authors: S
authors: Büyükkapu-Bay
authors: Ahmet
authors: A
authors: Akça
authors: Meriban
authors: M
authors: Karadoğan
authors: Funda
authors: F
authors: Çorapçioğlu
authors: Yonca
authors: Y
authors: Anik
mesh_terms: D019080:Cafe-au-Lait Spots / Q000150:complications / Q000175:diagnosis / Q000473:pathology; D002675:Child, Preschool; D003937:Diagnosis, Differential; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008579:Meningioma / Q000150:complications* / Q000175:diagnosis / Q000473:pathology; D009378:Neoplasms, Multiple Primary / Q000150:complications* / Q000175:diagnosis / Q000473:pathology; D009456:Neurofibromatosis 1 / Q000150:complications* / Q000175:diagnosis / Q000473:pathology; D009900:Optic Nerve / Q000473:pathology; D020339:Optic Nerve Glioma / Q000150:complications* / Q000175:diagnosis / Q000473:pathology; D019574:Optic Nerve Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000473:pathology
keywords: glioma; magnetic resonance imaging (MRI); neurofibromatosis type 1; optic nerve sheath meningioma