Glioblastoma Multiform Causing Bilateral Optic Atrophy

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File number: 73624

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    Appears in
    8-Mar-2021
    Condition/keywords
    optic atrophy
    Photographer
    DEEPAK BHOJWANI
    Imaging device
    Fundus camera
    ZEISS VISUCAM 524
    Description
    A 27-year-old male presented with complaints of severe headache associated with progressive loss of vision in both eyes since last 2- 3 months. On ocular examination his visual acuity was no perception of light in both eyes with bilateral dilated pupils not reacting to light. Fundus examination revealed bilateral optic atrophy (Figures A &B). He was advised an MRI scan for neurological evaluation. The patient was advised to review with Neurologist after getting MRI scans and review again with us. To our surprise this young patient was harboring a massive brain tumor reported as glioblastoma multiforme by the radiologist (Figure C). He has been advised tumor resection and chemoreduction by the neuro-oncologist. This case highlights neurological evaluation of all patients with bilateral optic atrophy. The presenting complaint of headache also prompted us for getting neurological examination. So its rightly said : eyes are the window to the body.

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