Glioma of the optic nerve and chiasm: a case report

Glioma óptico-quiasmático: um relato de caso

ABSTRACT

This article reports the case of an 11-year-old male patient with a history of proptosis and low progressive visual acuity in the left eye. He presented with a best corrected visual acuity of 20/25 in the right eye and light perception in the left eye. Exotropia and limitation in adduction were observed in the left eye. On automated perimetry, inferiortemporal quadrantopsia was observed in the right eye, while total scotoma was observed in the left eye. On magnetic resonance imaging, there was an expansive lesion in the left optic nerve, extending to the brainstem with chiasmatic involvement. This article aims to report a case of optic pathway glioma, as well as to discuss its clinical findings and their interconnection with the current literature.

Keywords:
Glioma; Optic nerve neoplasms; Optic chiasm; Astrocytoma; Magnetic resonance imaging; Visual Acuity; Case reports; Humans