TITLE:
Falx Meningeoma Induced Optic Neuropathy—Clinical Manifestation and Differential Diagnosis: A Case Report
AUTHORS:
Skevas Christos, Görsch Isabel Carolin, Richard Gisbert, Linke Johannes Stephan
KEYWORDS:
Falx Meningeoma; Optic Neuropathy; Cytomegalovirus (CMV); Visual Disturbances; Fluorescein Angiography (FLA); Magnetic Resonance Imaging (MRI); Visual Evoked Potentials (VEP) 1. Introdu
JOURNAL NAME:
Open Journal of Ophthalmology,
Vol.3 No.3,
August
7,
2013
ABSTRACT:
Purpose: Meningiomas are the most frequently diagnosed neoplasms. Ocular symptoms
vary depending on size and localisation of the tumor, which is capable of
compressing critical anatomic structures. Patients and Methods: A 44-year-old immunocompetent male was admitted to our
hospital for further investigation of his bilateral optic disc swelling. A
complete ophthalmological examination was performed including visual field assessment
(VF), visual evoked potentials (VEP), fluorescein angiography (FLA) and
magnetic resonance imaging (MRI). The patient
had experienced only minor visual disturbances. Serological testing was
performed. Results: Serological
testing showed positive IgM and IgGtiters for cytomegalovirus (CMV) and
subsequent imaging (MRI) revealed a frontal falxcerebri meningioma. Conclusions: We present a case of falx meningioma
with overlapping serologically active CMV in an otherwise healthy and
immunocompetent individual. Detailed differential diagnostic workup in
immunocompetent individuals presenting with clinically unremarkable bilateral
disc swelling is recommended.