A Losing Battle

Progressive loss of vision OSAn 81-year old male with progressive, painless loss of vision OS. Previous history significant for diabetes, hypertension, arthritis, dyschromatopsia and carcinoma of the bladder.VA: 20/25 OD, HM OSMRIGlial neoplasm1. Dutton JJ. Gliomas of the anterior visual pathway. Surg Ophthalmol 1994;38:427-52. 2. Barbaro NM, Rosenblum ML, Maitland CG et al. Malignant optic glioma presenting radiologically as a "cystic" suprasellar mass: case report and review of the literature. Neurosurgery 1982;11:787-89. 3. Bradovsky S, ten Hove MW, Pinkerton RM et al. An enhancing optic nerve lesion: malignant glioma of adulthood. Can J Ophthalmol 1997;32:409-13. 4. Friedman DP, Hollander MD. Neuroradiology case of the day. Malignant optic glioma of adul-hood. Radiographics 1998;18:1046-8. 5. Joran DR. An enhancing optic nerve lesion: malignant glioma of adulthood (letter). Can J Ophthalmol 1998;33:306-7. 6. Millar WS, Tartaglino LM, Sergott RC et al. MR of malignant optic glioma of adulthood. AJNR Am J Neuradiol 1995;16:1673-6. 7. Shapiro SK, Shapiry I, Wirtschafter JD et al. Malignant optic glioma in an adult: initial CT abnor-mality limited to the posterior orbit, leptomeningeal seeding of the tumor. Minn Med 1982;65:155-9. 8. Woiciechowsky C, Vogel S, Meyer et al. Magnetic resonance imaging of a glioblastoma of the optic chiasm. Case report (see comments) J. Neurosurg 1995;83:923-5. 9. Hoyt WF, Meshel LG, Lessell S et al. Malignant optic glioma of adulthood. Brain 1973;96:121-32. 10. Spoor TC, Kennerdell JS, Martinez AJ et al. Malignant gliomas of the optic nerve pathways. Am J Ophthalmol 1980;89:284-92. 11. Djalilian HR, Shah MV, Hall WA. Radiographic incidence of multicentric malignant glioma. Surg Neurol 1999;51:554-7. 12. Van Tassel P, Lee YY, Bruner JM. Synchronous and metachronous malignant gliomas: CT find-ings. AJNR: AM J Neurorad 1988;9(4):725-32. 13. Sneed PK, Gutin PH, Larson DA et al. Patterns of recurrence of glioblastoma multiform after exter-nal irradiation followed by implant boost. Int J Rad Oncol Biol Phys 1994;29:719-27