Document Detail


Intracranial meningiomatosis causing foster kennedy syndrome by unilateral optic nerve compression and blockage of the superior sagittal sinus.
MedLine Citation:
PMID:  19491639     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The original description of the Foster Kennedy syndrome included the clinical triad of optic disc pallor in one eye, optic disc edema in the other eye, and reduced olfaction caused by space-occupying anterior fossa masses. The optic disc pallor was attributed to direct compression of the intracranial optic nerve, the optic disc edema to increased intracranial pressure from mass effect, and the reduced olfaction to direct compression of the olfactory nerve. We report a patient with the ophthalmic features of the Foster Kennedy syndrome from meningiomatosis. A meningioma compressed one optic nerve to cause impaired visual function. Convexity meningiomas compressed the superior sagittal sinus to impair cerebral venous drainage, increased intracranial pressure, and papilledema in the other eye. This is the first report of the Foster Kennedy syndrome caused by this mechanism.
Authors:
X Acebes; J Arruga; J J Acebes; C Majos; S Muñoz; Isaac Alarcon Valero
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society     Volume:  29     ISSN:  1536-5166     ISO Abbreviation:  J Neuroophthalmol     Publication Date:  2009 Jun 
Date Detail:
Created Date:  2009-06-03     Completed Date:  2009-07-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9431308     Medline TA:  J Neuroophthalmol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  140-2     Citation Subset:  IM    
Affiliation:
Ophthalmology Department, Bellvitge Hospital, L'Hospitalet de Llobregat, Spain. xacebes@uoc.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Female
Fluorescein Angiography / methods
Humans
Magnetic Resonance Imaging
Meningeal Neoplasms / complications*
Meningioma / complications*
Nerve Compression Syndromes / complications,  etiology*
Optic Nerve Diseases / complications*,  etiology*
Sinus Thrombosis, Intracranial / complications*
Superior Sagittal Sinus / pathology*,  physiopathology
Visual Fields / physiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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