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Case Reports
. 1976 Oct;11(4):279-81.

"Twin peaks" papilledema: the appearance of papilledema with optic tract atrophy

J S Czarnecki, T A Weingeist, T C Burton, H S Thompson
  • PMID: 974850
Case Reports

"Twin peaks" papilledema: the appearance of papilledema with optic tract atrophy

J S Czarnecki et al. Can J Ophthalmol. 1976 Oct.

Abstract

A woman with a right middle fossa meningioma causing right optic tract atrophy and papilledema had distinctive funduscopic changes. The ipsilateral eye showed temporal disc pallor and nasal edema. The contralateral disc showed edema of the upper and lower poles which was separated by a horizontal band of optic atrophy. The fluorescein angiographic changes clearly illustrate this pattern. Apart from its theoretical interest this appearance of papilledema and atrophy provides definite localizing information.

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