A Case of Leptomeningeal Metastasis Presented with Bilateral Loss of Vision.
- Author:
Sung Hoon KIM
1
;
Sang Bae KOH
;
Kwang Woo LEE
Author Information
1. Department of Neurology, College of Medicine, Seoul National University.
- Publication Type:Case Report
- Keywords:
Blindness;
Leptomeningeal metastasis;
Presenting symptom
- MeSH:
Adenocarcinoma;
Aged;
Blindness;
Carcinoma;
Cerebrospinal Fluid;
Humans;
Male;
Neoplasm Metastasis*
- From:Journal of the Korean Neurological Association
1999;17(5):780-782
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We describe an unusual case of leptomenigeal carcinomatosis presented with bilateral blindness. A 67-year old male had been suffering from progressive blindness for the past 2 months. Initially, the symptom developed in the right eye but quickly spread to the left eye becoming bilateral with complete vision loss in a matter of weeks. He did not show any other focal neurological signs and did not have a history of malignancy. An examination of the cerebrospinal fluid revealed metastatic adenocarcinoma. As this case indicated, the patients of leptomeningal metastasis may present with acute or subacute blindness, even in the absence of other focal neurological deficits.