Chief & Presenting Author: Dr.Rima Sinha

Co Author(s): Prof. Reena Kumari, Prof. Dr. Arun Kumar Bandyopadhyay, Dr.Dinesh Kumar Bhagat

Abstract

Asymmetrical papilledema, characterized by optic disc swelling that is more pronounced in one eye, is a rare presentation often associated with intracranial lesions. Here we describe the clinical presentation, diagnostic workup and management of the patient with asymmetrical papilledema with meningothelial meningioma. A 65-year-old female presented in our OPD with diminution of vision (FCCF OD, FC1m OS) and headache which worsened in the morning and while lying down. Patient exhibited sluggish pupillary reaction with speech defect and disorientation. Posterior segment examination revealed papilledema (OD-grade3, OS-grade1). Color vision and HFA not evaluated due to poor visual acuity. Neuroimaging revealed meningothelial meningioma encasing ICA and left optic nerve. Hence, the lesion was non-resectable and the patient was advised radiation therapy on regular intervals. This study presents a case of asymmetrical papilledema secondary to non-resectable meningioma treated conservatively.