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TitleCreatorSubjectDescription
1 Nonfunctiong Pituitary Adenoma with Chiasmal CompressionWilliam Pearce, MD; Valérie Biousse, MDPituitary Adenoma; Bitemporal Hemianopia; Optic Nerve PallorThis is a case of large non-functioning pituitary adenoma with mass effect on the optic chiasm inducing loss of optic nerve fibers and subsequent visual field. Figure 1: Fundus photographs demonstrating bilateral temporal optic nerve head pallor Figure 2: Humphrey visual fields demonstrating a bitem...
2 Geniculate Nucleus Metastasis with Homonymous SectoranopiaRabih Hage, MD; Valérie Biousse, MDBrain Metastasis; SectoranopiaThis is a case of multiple brain metastases in the setting of bladder cancer complicated with right homonymous horizontal sectoranopia. Figure 1: Pet-scan showing liver (yellow arrows) and kidneys (red arrow) metastases Figure 2: Goldmann Visual Fields: Right homonymous horizontal sectoranopia Figu...
3 Metastatic Ovarian Cancer to the Left Occipital Lobe With Complete Right Homonymous HemianopiaDevin D. Mackay, MD; Valérie Biousse, MDMetastasis; Intracranial Mass; Homonymous Hemianopia; NeoplasmA case of metastatic ovarian cancer to the left occipital lobe with a complete right homonymous hemianopia. Humphrey visual fields as well as images from an MRI of the brain are included. Figure 1 : Humphrey visual fields showing a complete right homonymous hemianopia Figure 2 : MRI brain T1 axial...
4 Fourth Nerve SchwannomaRabih Hage, MD; Valérie Biousse, MDFourth Cranial Nerve Palsy; Cranial Nerve SchwannomaThis is a case of IVth cranial nerve schwannoma, showing an enhancement in the subarachnoid space consistent with the clinical presentation. Figure 1a : T1-weighted axial brain MRI Figure 1b : T1-weighted axial brain MRI : magnification of the brainstem Figure 1c : T1-weighted axial brain MRI : cr...
5 Vertical Diplopia Secondary to Skew Deviation With Ocular Tilt Reaction With Multiple Posterior Fossa MetastasesRabih Hage, MD; Valérie Biousse, MD; Jason Peragallo, MDBrain Metastasis; Skew DeviationThis is a case of multiple brain metastases in the posterior fossa resulting in a skew deviation. Figure 1 : Photograph of the patient demonstrating a spontaneous right head tilt. The patient's head is tilted toward his right shoulder to suppress his diplopia Figure 2 : Ocular movements : There is a...
6 Large Frontal Meningioma with Mass Effect and Increased Intracranial PressureRabih Hage, MD; Valérie Biousse, MDIntracranial Meningioma; Raised Intracranial Pressure; PapilledemaThis is a case of frontal meningioma presenting with raised intracranial pressure and bilateral papilledema responsible for visual loss. Figure 1: Goldmann visual field of the left eye. In the right eye, there was no response to the V4e. The visual field is severely constricted in the left eye. Fig...
7 Colloid Cyst HydrocephalusRabih Hage, MD; Valérie Biousse, MDColloid Cyst; Raised Intracranial Pressure; Papilledema; Obstructive Hydrocephalus; MRI Signs of Increased Intracranial PressureThis is a case of colloid cyst of the third ventricle complicated by severe hydrocephalus, raised intracranial pressure and papilledema. Figure 1: Fundus photographs demonstrating bilateral optic nerve head edema Figure 2a and 2b: T1-weighted axial brain MRI without contrast: Dilation of both later...
8 Large Sellar and Suprasellar Mass (Pituitary Macroadenoma) With Left Third Nerve Palsy and Left Optic Tract CompressionDevin D. Mackay, MD; Valérie Biousse, MDPituitary Tumor; Pituitary Macroadenoma; Intracranial Tumor; Brain Tumor; Third Nerve Palsy; Optic Tract LesionA case of a large sellar and suprasellar pituitary macroadenoma with an associated left third nerve palsy and left optic tract compression. Images from an MRI of the brain with contrast illustrate the imaging characteristics and extent of the tumor. Figure 1 : Humphrey Visual Fields (24-2 SITA-Fast)...
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