Khodeiry MM, Lind JT, Pasol J, Lam BL, Lee RK. Metastatic paraganglioma presenting as a
junctional scotoma.
Am J Ophthalmol Case Rep 2022;
25:101253. [PMID:
35036631 PMCID:
PMC8749452 DOI:
10.1016/j.ajoc.2021.101253]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2021] [Revised: 12/20/2021] [Accepted: 12/30/2021] [Indexed: 10/25/2022] Open
Abstract
PURPOSE
To report a unique case of metastatic paraganglioma presenting as a junctional scotoma.
OBSERVATIONS
A 38-year-old Caucasian man with a history of abdominal paraganglioma presented with minimally blurred vision 20/25 visual acuity in the left eye. The patient was found to have a junctional scotoma upon visual field testing. Cranial MRI revealed a large peri-clival mass compressing the pre-chiasmal optic nerves and other loci of metastatic disease. Intracranial masses, including metastases, can present with a relatively intact central acuity and nonspecific visual symptoms.
CONCLUSIONS AND IMPORTANCE
To the best of our knowledge, this is the first report of metastatic paraganglioma causing a junctional scotoma. In cases with junctional scotoma, careful neuro-ophthalmic assessment and imaging are of paramount importance, even in patients with excellent visual acuity.
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