Combing the Globe for Terrorism

Painful loss of vision OS; Periocular headache painAn 83-year old male with painful loss of vision OS. Previous history significant for hypertension, atrial fibrillation, type II diabetes, squamous cell carcinoma of the face and prostate cancer.VA: 20/20 OD, NLP OS; IOP: 12 OUMRI; PETMalignant glioma of the optic nerveSurgery; XRT Alkylating antineoplastic agents1. Hoyt WF, Meshel LG, Lessell S, Schatz NJ, Suckling RD. Malignant optic glioma of adulthood. Brain 1973;96:121-132.8. 2. Pruitt A. Update on treatment of primary and secondary central nervous system tumors. NANOS 2010: 259262. 3. Taylor T, Jaspan T, Milano G, Gregson R, Parker T, Ritzmann T, Benson C, Walker D. Radiological classification of optic pathway gliomas: experience of a modified functional classification system. The British Journal of Radiology, 81 (2008), 761-766. 4. Millar WS, Tartaglino LM, Sergott RC, Friedman DP, Flanders AE. MR of malignant optic glioma of adulthood. AJNR Am. J. Neuroradiol., Sep 1995; 16: 1673 - 1676. 5. Wabbels B, Demmler A, Seitz J, Woenckhaus M, Bloss HG, Lorenz B. Unilateral adult malignant optic nerve glioma. Graefes Arch Clin Exp Ophthalmol 2004: 242: 741-748