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CASE REPORT
Year : 2020  |  Volume : 58  |  Issue : 4  |  Page : 304-306

Gliomatosis cerebri - A rare cause of bilateral blindness


1 Department of Ophthalmology, Pondicherry Institute of Medical Sciences, Puducherry, India
2 Department of Neurology, Pondicherry Institute of Medical Sciences, Puducherry, India

Correspondence Address:
Dr. P Rajarajeswary
109, Jaya Vilas, Cuddalore Road, Mudaliarpet, Puducherry - 605 004
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/tjosr.tjosr_76_20

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We describe a rare case of gliomatosis cerebri (GC) with bilateral blindness. A 45-year-male presented with gradual painless loss of vision both eyes (BE), with generalised tonic–clonic seizures. On examination, the patient denied light perception BE, with sluggishly reacting pupil. Fundus examination revealed papilledema and absent foveal reflex. Magnetic resonance imaging showed features of diffuse infiltrating glial tumor suggesting GC. Visual impairment can occur rarely due to optic nerve involvement, however bilateral cases has not been reported. Early recognition of GC may allow preservation of vision through focal radiotherapy to the optic nerve.


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