Falx Meningeoma Induced Optic Neuropathy- Clinical Manifestation and Differential Diagnosis: a case report

Purpose: Meningiomas are the most frequently diagnosed neoplasms. Ocular symptoms vary depending on size and localisation of the tumor, which is capable of compressing critical anatomic structures. Patients and Methods: A 44-year-old immunocompetent male was admitted to our hospital for further investigation of his bilateral optic disc swelling. A complete ophthalmological examination was performed including visual field assessment (VF), visual evoked potentials (VEP), fluorescein angiography (FLA) and magnetic resonance imaging (MRI). The patient had ex-perienced only minor visual disturbances. Serological testing was performed. Results: Serological testing showed posi-tive IgM and IgGtiters for cytomegalovirus (CMV) and subsequent imaging (MRI) revealed a frontal falxcerebri men-ingioma. Conclusions: We present a case of falx meningioma with overlapping serologically active CMV in an other-wise healthy and immunocompetent individual. Detailed differential diagnostic workup in immunocompetent individu-als presenting with clinically unremarkable bilateral disc swelling is recommended