Foster-Kennedy Syndrome

Figure 1. Foster Kennedy syndrome in a 61-year-old woman. (A and A1) Fundus picture of the right eye showing optic disc pallor. (B and B1) Fundus picture of the left eye showing disc oedema with tortuosity of the peripapillary vessels. (C) OCT in RE showing macular thinning with loss of the ganglion fiber. (D): OCT in LE showing thickening of the ganglion fiber layer in the optic nerve.

• 61 years old female patient.
• History of low visual acuity on the right eye for the past 4 months and on the left eye for 1 month.
• Background: systemic arterial hypertension.
• Visual acuity in RE: hand movement. LE: 20/80.
• External ocular motility: Right eye significant limitation of medial rectus, superior, inferior and oblique muscle motility
  IOP: 14/15 mmhg.
• Retina mapping/retinography. RE: Optic nerve with pallor 3/4+, juxtamacular drusen. LE: Optic nerve with blurred edges (Frisen stage III), macula with juxtamacular drusen.

Figure 2. Post-contrast T1-weighted MRI images in axial (A and B), (C) coronal and (D) sagittal view demonstrating a extra-axial, well circumscribed, homogenous, isointense mass lesion in the fronto parietal cortex (lesion measures 5.5 x 5.1 x 4.8 cm) with broad based dural attachment and tenting with surrounding hyper-intense cerebral oedema suggestive of meningioma. (E) Magnetic resonance spectroscopy (H-MRS) evidencing a Cho/NAA ratio of less than 1 compatible with low-grade meningioma (WHO, grade 1)

Foster-Kennedy Syndrome

Mengioma