Title |
Cerebral Metastasis Presenting with Altitudinal Field Defect |
Creator |
Newsom, RS; Simcock, P; Zambarakji, H |
Affiliation |
Department of Ophthalmology, St. Thomas' Hospital, London, United Kingdom. |
Abstract |
A 75-year-old man presented with a unilateral inferior altitudinal visual field defect and a history of weight loss and night sweats. The acuity in the affected eye was 20/200, otherwise his ocular examination was normal. Neuroimaging demonstrated a post-fixed chiasm, with a frontal metastasis compressing the intracerebral portion of the optic nerve. A chest x-ray showed classical cannon ball lesions, secondary to malignant melanoma. This is the first case report of an intracerebral tumor producing an inferior altitudinal field defect. |
Subject |
Older people; Brain Neoplasms/radiography; Brain Neoplasms/radiotherapy; Brain Neoplasms/secondary; Glucocorticoids/therapeutic use; Hemianopsia/drug therapy; Hemianopsia/etiology; Humans; Lung Neoplasms/pathology; Lung Neoplasms/radiography; Lung Neoplasms/radiotherapy; Male; Melanoma/radiography; Melanoma/radiotherapy; Melanoma/secondary; Nerve Compression Syndromes/drug therapy; Nerve Compression Syndromes/etiology; Optic Nerve Diseases/drug therapy; Optic Nerve Diseases/etiology; Perimetry; Radiography, Thoracic; Tomography, X-Ray Computed; Visual Acuity; Visual Fields |
Format |
application/pdf |
Publication Type |
Journal Article |
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 |
Setname |
ehsl_novel_jno |
ID |
224948 |
Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6hm8fhh/224948 |