Pinzon Rizaldy Taslim, Afifudin Marlyna, Digdoyo Ananda, Naibaho Fx Kevin Christiansen, Parikesit Petra Gusti, Allendio Yoel Sasamu
Department of Neurology, Bethesda Hospital/ Faculty of Medicine, Duta Wacana Christian University, Yogyakarta, Indonesia.
Department of Ophthalmology, Bethesda Hospital/ Faculty of Medicine, Duta Wacana Christian University, Yogyakarta, Indonesia.
Rom J Ophthalmol. 2025 Apr-Jun;69(2):271-274. doi: 10.22336/rjo.2025.43.
Foster Kennedy syndrome is a neuro-ophthalmological disorder characterized by ipsilateral vision loss in one eye, followed by clinically significant papilledema in the opposite eye. The presence of mass lesions in the frontal lobe is primarily responsible for this syndrome. This case report further discusses symblepharon as an ocular manifestation of SJS.
A case report.
We present a case of a 59-year-old female with a history of progressive headache, anosmia, mental status changes, and progressive poor vision. Ocular examination revealed disc pallor in her left eye with disc oedema in the contralateral eye. The patient was sent for computerized tomography (CT) and MRI, and the diagnosis of frontal lobe meningioma was confirmed. The surgical removal was performed, and the condition improved gradually.
We present a case of Foster Kennedy Syndrome, a rare neurological sign characterized by optic atrophy (vision loss) in one eye and papilledema (swelling of the optic nerve) in the other eye, often associated with an intracranial mass (meningioma).
Presence of cranial fossa meningioma related to direct compression of a unilateral optic nerve, resulting in optic atrophy and might induce a rise in intracranial pressure, resulting in contralateral papilledema. This case presentation demonstrated that prompt and appropriate treatment was effective in gradually reducing the deterioration of symptoms associated with Foster Kennedy syndrome.
福斯特·肯尼迪综合征是一种神经眼科疾病,其特征为一只眼睛同侧视力丧失,随后对侧眼睛出现具有临床意义的视乳头水肿。额叶出现占位性病变是该综合征的主要原因。本病例报告进一步讨论了睑球粘连作为史蒂文斯-约翰逊综合征(SJS)的眼部表现。
病例报告。
我们报告一例59岁女性患者,有进行性头痛、嗅觉丧失、精神状态改变和进行性视力减退病史。眼部检查发现其左眼视盘苍白,对侧眼睛视盘水肿。患者接受了计算机断层扫描(CT)和磁共振成像(MRI)检查,确诊为额叶脑膜瘤。进行了手术切除,病情逐渐好转。
我们报告了一例福斯特·肯尼迪综合征病例,这是一种罕见的神经体征,其特征为一只眼睛视神经萎缩(视力丧失),另一只眼睛视乳头水肿(视神经肿胀),常与颅内占位(脑膜瘤)相关。
颅窝脑膜瘤的存在与单侧视神经直接受压有关,导致视神经萎缩,并可能引起颅内压升高,导致对侧视乳头水肿。本病例展示了及时且恰当的治疗对于逐渐减轻与福斯特·肯尼迪综合征相关症状恶化是有效的。