A Bright Spot Causing Darkness (Presentation Video)

Headache; Blurred vision declining to loss of visionA 20-year old male with a 2-week history of headache and blurred vision.VA: 20/20 OU declining to 20/30 OD, 20/200 OSMRI; ERGPapilledema; Intracranial hypertensionSurgery; Alkylating antineoplastic agents; XRT1. Arneja JS, Gosain AK. Giant congenital melanocytic nevi. Plast Reconstr Surg. 2009 Jul;124(1 Suppl):1e-13e. 2. Bodkin PA, Hassan MF, Kane PJ, Brady N, Whittle IR. 'Surgical' causes of benign intracranial hypertension. J R Soc Med. 2008 May;101(5):259-61. 3. Hill DL, Miller NR, Newman NJ, Biousse V. A patient with headache and increased intracranial pressure. Rev Neurol Dis. 2008 Spring;5(2):90-1. 4. Jayashankar A, Sabourin SM, Mullins ME. AJR teaching file: acute onset headache. AJR Am J Roentgenol. 2008 Sep;191(3 Suppl):S25-7. 5. Keltner JL, Thirkill CE, Yip PT. Clinical and immunologic characteristics of melanoma-associated retinopathy syndrome: eleven new cases and a review of 51 previously published cases. J Neuroophthalmol. 2001 Sep;21(3):173-87. 6. Kim AW, T robe JD. Syndrome simulating pseudotumor cerebri caused by partial transverse venous sinus obstruction in metastatic prostate cancer. Am J Ophthalmol. 2000 Feb;129(2):254-6. 7. Lu Y, Jia L, He S, Hurley MC, Leys MJ, Jayasundera T, Heckenlively JR. Melanoma-associated retinopathy: a paraneoplastic autoimmune complication. Arch Ophthalmol. 2009 Dec;127(12):1572-80. 8. Powers JM, Schnur JA, Baldree ME. Pseudotumor cerebri due to partial obstruction of the sigmoid sinus by a cholesteatoma. Arch Neurol. 1986 May;43(5):519-2