Chronic Progressive Visual Loss due to Petrocavernous Meningioma: A Case Report
Keywords:
Chronic progressive visual loss, Petrocavernous meningioma, Optic neuropathy, Cataract mimicAbstract
Introduction: Chronic progressive visual loss in elderly patients is most commonly attributed to cataract; however, alternative etiologies such as compressive optic neuropathy should be considered when clinical findings are atypical.
Case Report: A 69-year-old Thai female presented with progressive left visual loss initially diagnosed as cataract. Examination revealed a relative afferent pupillary defect and optic disc pallor. Magnetic resonance imaging of brain and orbit demonstrated a petrocavernous meningioma compressing the left optic nerve. The patient underwent surgical decompression followed by radiotherapy, resulting in stable visual acuity and improved visual field.
Conclusion: This case highlights the importance of thorough evaluation to prevent misdiagnosis and irreversible visual loss.
References
World Health Organization. Global report on diabetes [Internet]. Geneva: WHO; 2022 [cited 2023 Jul 22]. Available from http://www.who.int/news-room/fact-sheets/detail/blindness-and-visual-impairment.
Keeffe J, Taylor HR, Fotis K, Pesudovs K, Flaxman SR, Jonas JB, et al. Prevalence and causes of vision loss in Southeast Asia and Oceania:1990–2010. Br J Ophthalmol 2014;98:586-91.
Masaya-anon P, Lorpattanakasem J. Intracranial tumors affecting visual system: 5-year review in Prasat Neurological Institute. J Med Assoc Thai. 2008;91:515-9.
Dutton JJ. Optic nerve sheath meningiomas. Surv Ophthalmol 1992; 37:167-83
Shapey J, Sabin HI, Danesh-Meyer HV, Kaye AH. Diagnosis and management of optic nerve sheath meningiomas. J Clin Neurosci 2013;20:1045-56.
Miller NR. New concepts in the diagnosis and management of optic nerve sheath meningioma. J neuroophthalmalmol 2006;26:200-8
Carrasco JR, Penne RB. Optic nerve sheath meningiomas and advanced treatment options. Curr Opin Ophthalmol 2004; 15:406-10.
Wilson WB. Meningiomas of the anterior visual system. Surv Ophthalmal 1981;26: 109-27.
Turbin RE, Thompson CR, Kennerdell JS, Cockerham KP, Kupersmith M. A long-term visual outcome comparison in patients with optic nerve sheath meningioma managed with observation, surgery, radiotherapy, or surgery and radiotherapy. Ophthalmology 2002;109:890-9.
Pinzi V, Caldiera V, Schembri L, Cerniauskaite M, Fariselli L. Spontaneous resolution of visual loss due to optic pathway meningioma: A case report and a review of the literature. Brain Inj. 2016;30:225-9.
Wierzbowska J, Zegadło A, Patyk M, Rękas M. Spheno-Orbital Meningioma and Vision Impairment-Case Report and Review of the Literature. J Clin Med. 2022;12:74.
Sharma AK, Gandhoke CS, Misra S, Ravi A, Gupta RK, et al. Ectopic intraconal orbital meningioma - A rare case report. Surg Neurol Int. 2021;12:305.
Greenberg MB, Venkateswaran N, Tran AQ, Habash RG, Lee WW. Vision Loss Secondary to Meningioma in the Pregnant Patient. J Clin Ophthalmol Eye Disord. 2017;1:1003.
Jung JJ, Warren FA, Kahanowicz R. Bilateral visual loss due to a giant olfactory meningioma. Clin Ophthalmol. 2012;6:339-42.
Shuangshoti S. Meningioma of the optic nerve. Br J Ophthalmol. 1973;57:265-9.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Region11Medical Journal
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
