RESUMO
Multiple brain lesions are usually due to metastatic spread. The authors describe an unusual case of a 56-year-old male presenting with visual loss secondary to multiple intracranial lesions, with infiltration of the optic chiasm and an incidental renal lesion. Open biopsy of the brain lesion confirmed glioblastoma multiforme.
Assuntos
Cegueira/etiologia , Neoplasias Encefálicas/complicações , Glioblastoma/complicações , Neoplasias Primárias Múltiplas/complicações , Glioma do Nervo Óptico/complicações , Neoplasias do Nervo Óptico/complicações , Biópsia , Neoplasias Encefálicas/diagnóstico , Neoplasias Encefálicas/cirurgia , Diagnóstico Diferencial , Evolução Fatal , Glioblastoma/cirurgia , Humanos , Neoplasias Renais/diagnóstico , Masculino , Pessoa de Meia-Idade , Quiasma Óptico/patologia , Nervo Óptico/patologia , Glioma do Nervo Óptico/secundário , Neoplasias do Nervo Óptico/secundárioRESUMO
INTRODUCTION: This is an atypical case of a pilocytic astrocytoma that involved the optic nerve (ON) and the retina. CLINICAL CASE: The patient was a 30-year-old male, who had attended ONCE since his early childhood because of the suspicion of an intraocular tumor. The ophthalmology exploration showed an ON and retinal coloboma in the right eye and microphthalmy, shutting of the pupil, retinal detachment and proof of an intraocular tumor in the left eye. The MR revealed an ON tumor that involved the retina. The histopathological study after enucleation was pilocytic astrocytoma. DISCUSSION: Long standing congenital pathology in a blind patient does not exclude the possibility of the patient suffering from other pathology as well.
Assuntos
Glioma do Nervo Óptico/secundário , Neoplasias do Nervo Óptico/patologia , Neoplasias da Retina/secundário , Adulto , Enucleação Ocular , Humanos , Imageamento por Ressonância Magnética , Masculino , Glioma do Nervo Óptico/cirurgia , Neoplasias da Retina/cirurgia , Resultado do Tratamento , Acuidade VisualRESUMO
Introducción: Se presenta un caso atípico de astrocitoma pilocítico de nervio óptico (NO) y retina.Caso clínico: Varón de 30 años afiliado a la ONCE desde niño, con sospecha de tumoración intraocular. En la exploración oftalmológica: coloboma de NO y retina en ojo derecho y microftalmos, seclusión pupilar, desprendimiento de retina y evidencia de una masa retiniana en ojo izquierdo. La RNM mostró una tumoración de NO y retina. El estudio anatomopatológico tras la enucleación diagnosticó astrocitoma pilocítico de NO y de retina.Discusión: La existencia de una patología congénita en un paciente con ceguera legal no excluye el que pueda presentar otras patologías
Introduction: This is an atypical case of a pilocytic astrocytoma that involved the optic nerve (ON) and the retina. Clinical case: The patient was a 30-year-old male, who had attended ONCE since his early childhood because of the suspicion of an intraocular tumor. The ophthalmology exploration showed an ON and retinal coloboma in the right eye and microphthalmy, shutting of the pupil, retinal detachment and proof of an intraocular tumor in the left eye. The MR revealed an ON tumor that involved the retina. The histopathological study after enucleation was pilocytic astrocytoma. Discussion: Long standing congenital pathology in a blind patient does not exclude the possibility of the patient suffering from other pathology as well
