Visual Loss As Primary Manifestation of Olfactory Groove Meningioma

Farhana Nabila Sulaiman; Mohamed Iliyas Sultan Abdul Kader; Rajasudha Sawri Rajan; Wan Haslina Wan Abdul Halim

doi:10.7759/cureus.37632

Visual Loss As Primary Manifestation of Olfactory Groove Meningioma

Cureus. 2023 Apr 16;15(4):e37632. doi: 10.7759/cureus.37632. eCollection 2023 Apr.

Authors

Farhana Nabila Sulaiman^{1

2}, Mohamed Iliyas Sultan Abdul Kader^{3

4}, Rajasudha Sawri Rajan², Wan Haslina Wan Abdul Halim¹

Affiliations

¹ Department of Ophthalmology, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, MYS.
² Department of Ophthalmology, Hospital Selayang, Batu Caves, MYS.
³ Department of Otorhinolaryngology-Head and Neck Surgery, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, MYS.
⁴ Department of Otorhinolaryngology-Head and Neck Surgery, Hospital Melaka, Melaka, MYS.

Abstract

Differential diagnosis of vision loss in a space-occupying lesion can be exhaustive. Olfactory groove meningioma (OGM) is a rare, benign, slow-growing tumour originating from the anterior cranial base. OGM is one of the differential diagnoses of intracranial tumours. We report a case of an OGM compressing the optic nerve and frontal lobe causing bilateral vision loss for six months. Multidisciplinary management by ophthalmologists, neurosurgeons, radiologists, and pathologists led to the diagnosis and tumour resection of OGM in the patient. Possible mechanisms of vision loss, imaging features, and treatment are discussed in this report.

Keywords: anosmia; intracranial tumours; meningoma; olfactory groove; optic disc swelling; visual loss.

Publication types

Case Reports