Petroclival Meningioma Presenting With an Ipsilateral Sixth Nerve Palsy and a Contralateral Homonymous Quadrantanopia: A Unique and Topographically Localizing Syndrome

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Title Petroclival Meningioma Presenting With an Ipsilateral Sixth Nerve Palsy and a Contralateral Homonymous Quadrantanopia: A Unique and Topographically Localizing Syndrome
Creator Ardalan Sharifi; Lance J. Lyons; Aroucha Vickers; Andrew G. Lee
Affiliation Department of Ophthalmology & Visual Sciences (AS, LJL, AGL), University of Texas Medical Branch, Galveston, Texas; Department of Ophthalmology (AV, AGL), Blanton Eye Institute, Houston Methodist Hospital, Houston, Texas; Department of Ophthalmology (AGL), Baylor College of Medicine, Houston, Texas; Departments of Ophthalmology, Neurology, and Neurosurgery (AGL), Weill Cornell Medicine, New York, New York; Section of Ophthalmology (AGL), University of Texas MD Anderson Cancer Center, Houston, Texas; and Department of Ophthalmology (AGL), University of Iowa Hospitals and Clinics, Iowa City, Iowa
Abstract An 84-year-old woman reported onset of headaches, diplopia, and blurred vision. On examination, she was found to have a left sixth nerve palsy and an incongruous right homonymous hemianopia. Brain MRI demonstrated a left petroclival meningioma, causing this unusual combination of clinical findings. The patient was treated with radiation therapy and has remained stable over 4 years of follow-up.
Subject Abducens Nerve Diseases / diagnostic imaging; Abducens Nerve Diseases / etiology; Aged, 80 and over; Brain / diagnostic imaging; Female; Hemianopsia / diagnostic imaging; Hemianopsia / etiology; Humans; Magnetic Resonance Imaging; Meningeal Neoplasms / complications; Meningeal Neoplasms / diagnostic imaging; Meningioma / complications; Meningioma / diagnostic imaging; Skull Base Neoplasms / complications; Skull Base Neoplasms / diagnostic imaging
OCR Text Show
Date 2019-09
Language eng
Format application/pdf
Type Text
Publication Type Journal Article
Source Journal of Neuro-Ophthalmology, September 2019, Volume 39, Issue 3
Collection Neuro-Ophthalmology Virtual Education Library: Journal of Neuro-Ophthalmology Archives: https://novel.utah.edu/jno/
Publisher Lippincott, Williams & Wilkins
Holding Institution Spencer S. Eccles Health Sciences Library, University of Utah
Rights Management © North American Neuro-Ophthalmology Society
ARK ark:/87278/s6pp4w54
Setname ehsl_novel_jno
ID 1595907
Reference URL https://collections.lib.utah.edu/ark:/87278/s6pp4w54
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