Abstract
A 70-year-old man presented with left-sided eye pain, impaired vision and restricted
left ocular motility, later developing progressive visual decline with development
of ataxia and incontinence. Fundoscopic examination revealed significant optic nerve
head edema and hemorrhage on the left eye. Neuroimaging revealed an optic pathway
mass, extending from the right optic nerve to the chiasm, which enlarged on serial
imaging. After surgical excision of the mass, pathology showed a grade III astrocytoma.
The patient died 16 months after presentation, which is longer than previously reported
for late adult onset optic pathway astrocytoma. We believe that neuroimaging and pathological
studies should be performed early in such patients to allow early diagnosis and intervention.
Keywords
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Article info
Publication history
Accepted:
September 11,
2012
Received:
August 26,
2012
Identification
Copyright
© 2013 Elsevier Ltd. Published by Elsevier Inc. All rights reserved.
