The Ocular Findings of Intracranial Tumor*

Papilledema is optic disc swelling due to high intracranial pressure. Possible conditions causing high intracranial pressure and papilledema include intracerebral mass lesions, cerebral hemorrhage, head trauma, meningitis, hydrocephalus, spinal cord lesions, impairment of cerebral sinus drainage, anomalies of the cranium, and idiopathic intracranial hypertension (IIH). Irrespective of the cause, visual loss is the feared morbidity of papilledema, and the main mechanism of optic nerve damage is intraneuronal ischemia secondary to axoplasmic flow stasis. Treatment is directed at correcting the underlying cause. In cases where there is no other identifiable cause for intracranial hypertension (ie, IIH) the available options include both medical and surgical modalities. Weight loss and diuretics remain the mainstays for treatment of IIH, and surgery is typically reserved for patients who fail, are intolerant to, or non-compliant with maximum medical therapy.

show abstract

“… 15 In contrast, several larger neurosurgical series found papilledema in up to 60%–80% of patients with cerebral tumors. 16 …”

Section: Etiology Of Papilledemamentioning

confidence: 99%

Papilledema: epidemiology, etiology, and clinical management

Rigi¹,

Almarzouqi

Morgan

et al. 2015

View full text Add to dashboard Cite

show abstract

“…In contrast, several larger neurosurgical series found papilledema in up to 60%-80% of patients with cerebral tumours. 9,10 Even if patient does not complain of any symptoms and sign of intra cranial space occupying lesion. As our patient had complained of headache for which a routine examination of refraction and fundus examination was done and diagnosed having frontal lobe tumour.…”

Section: Discussion Of Managementmentioning

confidence: 99%

A Rare Case of Debilitating Headache and Anaplastic Oligoastrocytoma of Frontal Lobe

Shiveshi¹,

Channappa²,

Channappa³

2019

jemds

View full text Add to dashboard Cite

A 25-year-old female patient from Mandya, Karnataka came to Ophthalmology OPD at Vasan Eye Care, Bangalore. Complaint of headache since one month. Headache initially was bi-frontal then gradually become holocranial. Headache was more at night causing patients to wake up from sleep. She was complaining of blurring of vision at peak of headache. Headache used to subside with oral analgesics. No history of vomiting or loss of consciousness or seizure with no other symptoms of raised intra cranial pressure were found. On examination, patient was conscious and alert with normal mental function. Normal visual acuity of 6/6 in both eye with normal colour vision test and visual field test were found. On fundus examination, bilateral grade 2 papilledema was seen. Ophthalmoscopic examination: Fundus showed swelling of disc with elevation and obscuration of >1 segment of the major blood vessels, peripapillary halo, splinter haemorrhages and exudates. Right Eye-Grade II Papilledema (Bilateral Blurred Disc; Margins in the Right Optic Nerve; Haemorrhages and Cotton Wool Patches seen)

show abstract

“…Papilledema from various causes of IH may develop at any age, in either sex, and in any racial or ethnic group [7]. Several larger neurosurgical series found papilledema in up to 60-80% of patients with cerebral tumors [8]. Classical symptoms include headache, usually worse when awakening, vomiting and blurring of vision.…”

Section: Introductionmentioning

confidence: 99%

Resolution of Papilledema Following Ventriculoperitoneal Shunt or Endoscopic Third Ventriculostomy for Obstructive Hydrocephalus: A Pilot Study

Das

Montemurro

Ashfaq³

et al. 2022

Medicina

View full text Add to dashboard Cite

Background and Objectives: Ventriculoperitoneal Shunt (VPS) and Endoscopic Third Ventriculostomy (ETV) are both gold standard procedures to reduce intracranial pressure (ICP) in patients with obstructive hydrocephalus, which often results in papilledema. This comparative study was carried out at the Department of Neurosurgery of Dhaka Medical College and Hospital to compare the efficacy of VPS and ETV in the resolution of papilledema in 18 patients with obstructive hydrocephalus. Materials and Methods: The success of CSF diversion was evaluated by a decrease in retinal nerve fiber layer (RNFL) thickness by optical coherence tomography (OCT) and modified Frisen grading of papilledema at the same time. The statistical analyses were carried out by using paired sample t test and the Spearman’s correlation coefficient test. The level of significance (p value) was set at <0.05. Results: After 7 days, both VPS and ETV were able to reduce RNFL thickness of both eyes with a p value = 0.016 (right eye) and 0.003 (left eye) in group A (VPS) and with a p value <0.001 (both eyes) in group B (ETV). Change of Frisen grading after CSF diversion was not satisfying for both the procedures with p value > 0.05. Further, the inter-group comparison between VPS and ETV showed no difference in decreasing RNFL thickness and modified Frisen grading (p value = 0.56). Conclusion: VPS and ETV procedures both appear very efficient in treating obstructive hydrocephalus, which in turn reduces papilledema in these patients. This paper is preliminary and requires further work.

show abstract

The Ocular Findings of Intracranial Tumor*

Cited by 7 publications

References 5 publications

Papilledema: epidemiology, etiology, and clinical management

Papilledema: epidemiology, etiology, and clinical management

A Rare Case of Debilitating Headache and Anaplastic Oligoastrocytoma of Frontal Lobe

Resolution of Papilledema Following Ventriculoperitoneal Shunt or Endoscopic Third Ventriculostomy for Obstructive Hydrocephalus: A Pilot Study

Contact Info

Product

Resources

About