A Case of Leptomeningeal Metastasis Presented with
Bilateral Loss of Vision

J Korean Neurol Assoc > Volume 17(5); 1999 > Article

Journal of the Korean Neurological Association 1999;17(5): 780-782.

양안의 실명으로 발현한 수막암종증 1예

김성훈, 고상배 이광우

서울대학교 의과대학 신경과학교실

A Case of Leptomeningeal Metastasis Presented with Bilateral Loss of Vision

Sung Hun Kim, M.D., Sang-Bae Koh, M.D., Kwang-Woo Lee, M.D.

Department of Neurology, College of Medicine, Seoul National University

Abstract

We describe an unusual case of leptomenigeal carcinomatosis presented with bilateral blindness. A 67-year old male had been suffering from progressive blindness for the past 2 months. Initially, the symptom developed in the right eye but quickly spread to the left eye becoming bilateral with complete vision loss in a matter of weeks. He did not show any other focal neurological signs and did not have a history of malignancy. An examination of the cerebrospinal fluid revealed metastatic adenocarcinoma. As this case indicated, the patients of leptomeningal metastasis may present with acute or subacute blindness, even in the absence of other focal neurological deficits. J Kor Neurol Ass 17(5):780~782, 1999 Key Words : Blindness, Leptomeningeal metastasis, Presenting symptom