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Surv Ophthalmol. 2011 Jul-Aug;56(4):362-70. doi: 10.1016/j.survophthal.2010.11.003. Epub 2011 Mar 3.

Knee deep in the nerve.

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Wills Eye Institute, Philadelphia, Pennsylvania, USA.


A 62-year-old man presented with a 3-week history of a progressive right vision loss. His right optic disk showed some mild elevation. Automated perimetry revealed a junctional scotoma. Magnetic resonance imaging of the brain showed enlargement and enhancement of the right optic nerve, chiasm, and proximal optic tract. A chiasmal biopsy revealed a lesion consistent with malignant optic glioma of adulthood.

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