The ophthalmologic signs in case of C1 neurinoma without hydrocephalus – case report

Lidia Puchalska‑Niedbał, Urszula Kulik, Klaudyna Kojder, Wojciech Lubiński, Beata Rzewuska, Ireneusz Kojder


Introduction: We present a case of the patient suffering from the tumor of cranio‑spinal junction in whom a wide spectrum of ophthalmic and neuroophtalmic signs was noted.

Methods: The comprehensive neuro‑ophthalmic examination were performed (pupillary reactions, visual activity, fundus ophthalmoloscopy, intraocular pressures, eye movements, visual field, MRI, MR angiography). Additionally immunohistochemistry and laboratory tests were made.

Results: The case of 24 years male with peripapillary subretinal hemorrhage, that occurred after a surgical excision of a tumor at cranio‑cervical junction. The mechanism of the dynamics of the expanding intracranial space occupying processes is also discussed.

Conclusions: Space occupying lesion of the level of cranio‑spinal junction causes vascular changes in the fundus of the eye of the high dynamic and diversity. Surgical decompression in such cases is a maneuver of choice to maintain the reversibility of changes if proceeded in early stage.


peripapillary subretinal hemorrhage, increased intracranial pressure, acute diplopia, cranio‑cervical junction tumors

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