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July 28, 2015; 85 (4) NeuroImages

Pseudo-Foster-Kennedy syndrome with optic nerve compression by the gyrus rectus

Ninad Desai, Raymund L. Yong, Amish Doshi, Janet C. Rucker
First published July 27, 2015, DOI: https://doi.org/10.1212/WNL.0000000000001791
Ninad Desai
From NYU Langone Medical Center (N.D., J.C.R.); and Mount Sinai Medical Center (R.L.Y., A.D.), New York, NY.
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Raymund L. Yong
From NYU Langone Medical Center (N.D., J.C.R.); and Mount Sinai Medical Center (R.L.Y., A.D.), New York, NY.
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Amish Doshi
From NYU Langone Medical Center (N.D., J.C.R.); and Mount Sinai Medical Center (R.L.Y., A.D.), New York, NY.
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Janet C. Rucker
From NYU Langone Medical Center (N.D., J.C.R.); and Mount Sinai Medical Center (R.L.Y., A.D.), New York, NY.
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Citation
Pseudo-Foster-Kennedy syndrome with optic nerve compression by the gyrus rectus
Ninad Desai, Raymund L. Yong, Amish Doshi, Janet C. Rucker
Neurology Jul 2015, 85 (4) 385; DOI: 10.1212/WNL.0000000000001791

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This article has a correction. Please see:

  • Pseudo-Foster-Kennedy syndrome with optic nerve compression by the gyrus rectus - October 06, 2015
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A 21-year-old woman presented with headaches and left eye visual loss. Examination revealed acuity 20/20 OD and finger counting OS, a left afferent pupillary defect, papilledema OD, and optic atrophy OS. Left atrophy was unexplained until orbital MRI revealed left nerve compression by the gyrus rectus (figure, A), displaced by an intraventricular central neurocytoma (figure, B). Foster-Kennedy syndrome is characterized by optic atrophy on one side due to direct optic nerve mass lesion compression with contralateral papilledema. This case is termed pseudo-Foster-Kennedy with indirect compressive optic neuropathy due to brain displacement from a tumor distant from the optic nerve.1

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Figure Optic nerve compression by gyrus rectus and intraventricular mass causing displacement of gyrus rectus

Coronal T2-weighted orbital and brain MRI reveals left lateral ventriculomegaly with downward displacement of the gyrus rectus, resulting in left optic nerve compression (A), due to a left intraventricular mass (B).

Footnotes

  • Author contributions: Ninad Desai: manuscript writing and editing. Raymund Yong: conception of idea, manuscript writing and editing. Amish Doshi: manuscript writing and editing. Janet Rucker: conception of idea, manuscript writing and editing.

  • Study funding: No targeted funding reported.

  • Disclosure: The authors report no disclosures relevant to the manuscript. Go to Neurology.org for full disclosures.

  • © 2015 American Academy of Neurology

References

  1. 1.↵
    1. Klingele TG,
    2. Gado MH,
    3. Burde RM,
    4. Coxe WS
    . Compression of the anterior visual system by the gyrus rectus. J Neurosurg 1981;55:272–275.
    OpenUrlCrossRefPubMed
View Abstract

Letters: Rapid online correspondence

  • Pseudo-pseudo-pseudo Foster Kennedy Syndrome
    • Ian T. S. Coyle-Gilchrist, Academic Clinical Fellow, University of Cambridgeitsc2@medschl.cam.ac.uk
    • Lorraine F. Peck, Cambridge, UK
    Submitted August 07, 2015
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