• Medicina · Oct 2024

    Review Case Reports

    Optic Nerve Glioblastoma with Optic Chiasm Involvement: A Case Report and a Brief Literature Review.

    • Artis Brokāns, Jūlija Dolgopolova, Agnis Saulītis, Uldis Spulle, Kristaps Rancāns, Dairis Meiers, Sigita Hasnere, and Arturs Balodis.
    • Department of Radiology, Riga Stradins University, 16 Dzirciema Street, LV-1007 Riga, Latvia.
    • Medicina (Kaunas). 2024 Oct 14; 60 (10).

    AbstractBackground: optic nerve glioblastoma is an uncommon pathology. The optic chiasm, optic tract, or optic nerves are possible places from which the tumor can originate. Most of the neuroimaging findings are nonspecific. To confirm the diagnosis, a biopsy is required. A delay to the treatment plan for optic nerve glioblastoma results in poor patient survival rates. Case report: a 68-year-old woman with an uncomplicated medical history presented with exophthalmos, deteriorating eyesight, and partial loss of vision. Using radiological data together with postoperative histopathological and histochemical analysis, optic nerve glioblastoma, IDH-wildtype, with optic chiasm involvement was diagnosed. Conclusion: optic nerve glioblastoma is a rare and aggressive form of cancer that affects the optic nerve, leading to significant vision impairment and potentially life-threatening complications. Treatment options are restricted and difficult because of the location and nature of the condition; surgery, radiation therapy, and chemotherapy are frequently needed as part of a multidisciplinary approach.

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