Bilateral Compressive Optic Neuropathy Secondary to Tuberculum Sella Meningioma in Pregnancy
- Author:
Ainal Adlin N
;
Mushawiahti M
;
Amin A
;
Safinaz MK
- Publication Type:Case Reports
- Keywords:
Chronic visual loss;
meningioma;
optic atrophy;
pregnancy;
tuberculum sella
- MeSH:
Optic Atrophy;
Pregnancy
- From:Journal of Surgical Academia
2016;6(2):33-36
- CountryMalaysia
- Language:English
-
Abstract:
A 37-year-old primigravida in her second trimester presented with bilateral painless progressive visual loss. Her
vision was hand motion in both eyes. Both pupils were dilated with sluggish reaction to light. Both fundus appeared
myopic with bilateral optic atrophy. Magnetic resonance imaging (MRI) of the brain revealed a suprasellar mass with
optic chiasm compression and bilateral optic nerve atrophy. As the mass has compromised her vision, a semiemergency
craniotomy and excision of tumour was performed. Histopathological examination confirmed the
diagnosis of low grade meningothelial meningioma. Both mother and foetus were well after the surgery. However,
post-operatively her vision remained poor due to optic nerve atrophy.
- Full text:W020161122381638337590.pdf
