AI Article Synopsis

  • Meningiomas are generally benign tumors in the central nervous system that can compress nearby structures but typically don't cause significant health issues on their own.
  • Frontal meningiomas can lead to behavioral changes but often don't result in visual disturbances, though a case is presented where a large frontal meningioma caused progressive visual field loss without affecting visual clarity or behavior.
  • The study emphasizes the importance of thorough eye examinations, including confrontation visual field testing, in diagnosing hidden intracranial tumors.

Article Abstract

Meningiomas are benign tumors of the central nervous system (CNS) that usually result in compression to adjacent structures and rarely cause pathology on their own. Meningiomas can affect the visual pathways originating from perineural or optic nerve sheath meningioma (ONSM), sellar, or clinoid, to the frontal-temporal-parietal-occipital lobes. Frontal meningiomas have an indolent presentation with frequent behavioral changes (i.e., personality or emotional changes, visual hallucinations), but they rarely present with visual disturbances. We present a case of a giant frontal meningioma causing progressive visual field loss despite preserved visual acuity and no behavioral changes. We aim to highlight the diagnostic value of performing a detailed ophthalmologic evaluation with confrontation visual field (CVF) testing and interpretation in aiding the discovery and diagnosis of intracranial tumors.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11151189PMC
http://dx.doi.org/10.7759/cureus.59754DOI Listing

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