Open AccessMetastatic Neuroblastoma Presenting with Binocular Blindness from Intracranial Compression of the Optic Nerves
Author(s) -
Juan J. Chan Lau,
Jonathan D. Trobe,
Robert Ruiz,
Robert W. Cho,
Daniel S. Wechsler,
Gaurang Shah,
Stephen S. Gebarśki
Publication year - 2004
Publication title -
journal of neuro-ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.586
H-Index - 55
eISSN - 1536-5166
pISSN - 1070-8022
DOI - 10.1097/00041327-200406000-00005
Subject(s) - blindness , medicine , optic nerve , orbit (dynamics) , ophthalmology , optometry , engineering , aerospace engineering
A 2-year-old boy with blindness as an isolated symptom was found to have no light perception binocularly because of compression of both optic nerves by a neuroblastoma infiltrating the walls of the optic canals and medial sphenoid bone. Imaging disclosed a primary tumor near the kidney and multiple osseous metastases. Although neuroblastoma commonly causes blindness by metastasis to the orbit, it rarely causes bilateral blindness from intracranial compression of the optic nerves. This is the first report of bilateral blindness as the presenting feature.