Jarus G D, Feldon S E
Am J Ophthalmol. 1982 Mar;93(3):317-22. doi: 10.1016/0002-9394(82)90532-3.
A 52-year-old man had progressive loss of visual acuity in his left eye associated with anosmia of five years duration. Clinical findings included papilledema in the right eye and optic atrophy in the left eye. A diagnosis of Foster Kennedy syndrome was made. Careful attention to the ophthalmoscopic appearance of the left eye disclosed optic disk swelling in regions without significant atrophy as well as dilated retinal veins. Both of these signs suggested increased intracranial pressure, rather than a primary anterior ischemic optic neuropathy. High resolution computed tomographic scanning confirmed the presence of a large subfrontal meningioma and an expanded right optic nerve sheath, consistent with the papilledema noted clinically.
一名52岁男性，左眼视力进行性下降，并伴有持续5年的嗅觉丧失。临床检查发现右眼视乳头水肿，左眼视神经萎缩。诊断为福斯特·肯尼迪综合征。仔细观察左眼眼底镜检查结果发现，在没有明显萎缩的区域视盘肿胀，以及视网膜静脉扩张。这两个体征均提示颅内压升高，而非原发性前部缺血性视神经病变。高分辨率计算机断层扫描证实存在一个巨大的额下脑膜瘤和右侧视神经鞘扩大，与临床发现的视乳头水肿相符。
