ISSN: 2459-1777 | E-ISSN 2587-0394
Volume : 8 Issue : 4 Year : 2023
Neuro-Ophthalmic Manifestations of Intracranial Space Occupying Lesions in Adults [Beyoglu Eye J]
Beyoglu Eye J. 2022; 7(4): 304-312 | DOI: 10.14744/bej.2022.50469

Neuro-Ophthalmic Manifestations of Intracranial Space Occupying Lesions in Adults

Sarang Gotecha1, Megha Kotecha2, Prashant Punia1, Ashish Chugh1, Vridhi Shetty1
1Department of Neurosurgery, Dr.D.Y.Patil Medical College, Pune, India
2Department of Ophthalmology, Dr.D.Y.Patil Medical College, Pune, India

OBJECTIVES: The purpose of this study is to evaluate the epidemiology, neuro-ophthalmic, and clinical characteristics of intracranial space occupying lesions (ICSOLs) in adult patients.
METHODS: All patients above 16 years presenting with brain tumors confirmed by magnetic resonance imaging and treated surgically in our institute were included in this study. Epidemiology of the patients along with neurological and ophthalmic manifestation was evaluated.
RESULTS: A total of 252 patients were included in the study ranging from 18 years to 79 years. Supratentorial location was more common than infratentorial location. The most common neurological symptom in our study was headache followed by seizures. Ophthalmic manifestations were present in (73.4%) of patients. The most common visual symptoms and signs were visual loss, strabismus, papilledema, and visual field defects. The most common histopathological diagnosis seen in our study was meningiomas followed by high-grade gliomas.
DISCUSSION AND CONCLUSION: Ocular signs and symptoms can be considered as a window to the brain through which ICSOLs can be detected. The most common neurological manifestation of ICSOL in our study was headache with or without true localizing signs and symptoms. More frequently, these patients present to an ophthalmologist before a neurosurgeon with related ocular manifestations. Hence, through our study, we emphasize the importance of a detailed ophthalmological examina-tion in these patients which can aid in early diagnosis and prompt management of such lesions.

Keywords: Intracranial space occupying lesions, neurological features, neuro-ophthalmic manifestations, ophthalmic signs, ophthalmic symptoms.

Sarang Gotecha, Megha Kotecha, Prashant Punia, Ashish Chugh, Vridhi Shetty. Neuro-Ophthalmic Manifestations of Intracranial Space Occupying Lesions in Adults. Beyoglu Eye J. 2022; 7(4): 304-312

Corresponding Author: Megha Kotecha, India
Manuscript Language: English
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