7-year-old female whose mother noticed her eyes "bouncing" for 2 months. Visual acuity 20/70 OD and 20/40 OS, reduced color vision OU, and no afferent pupillary defect. See-saw nystagmus documented with videography. Manual perimetry revealed a complete right homonymous hemianopia. MRI revealed a large, enhancing, heterogeneous mass in the hypothalamic region. Images shown are sagittal and coronal T1 images with contrast. Biopsy was consistent with a juvenile pilocytic astrocytoma. The patient underwent chemotherapy, but no radiation.
Katz, Bradley J.
MRI: SagT1_with_11.jpg; CorT1_with_11.jpg
Bradley J. Katz, MD. Assistant Professor of Ophthalmology and Neurology, University of Utah Health Sciences Center
Spencer S. Eccles Health Sciences Library, University of Utah
Play length: 1:55; QT CD File Size: 35.73MB; Real CD File Size: 15.92MB; WMV CD File Size: 23.31MB
Relation is Part of
Moran Eye Center Neuro-Ophthalmology Collection; Related MRI: SagT1_with_11.jpg; CorT1_with_11.jpg