Abstract
Metastatic lesions to the eye and optic nerve have incidence of 12% and are observed predominantly in patients, diagnosed with breast and lung cancer. However, isolated involvement of the optic nerve by breast cancer metastasis is much rarely reported with only 13 cases reported in the literature by 2013, according to Cherkaev et al., that were often preoperatively misdiagnosed. Herewith we present a rare case of optic nerve metastasis in a previously diagnosed breast cancer patient. Review of the literature was done with analysis of the diagnostic difficulties that these cases present and the role of the neurosurgeon in the management of the patients.
Highlights
Kondoff et al we present a rare case of optic nerve metastasis in a previously diagnosed breast cancer patient
A female 59-year-old patient presented with long-term progressive loss of visual acuity
Intraoperative diagnosis was optic nerve metastasis, which was later confirmed by histological examination of the biopsy material
Summary
Metastases to the eye and optic nerve are by no means a rare finding with reported incidence rates of up to 12% [1]. Isolated involvement of the optic nerve is much rarely reported. 13 cases have been described in the literature by 2013 and preoperative misdiagnosis is a usual phenomenon with these lesions [1]. This type of lesion requires further and more thorough exploration as they present complex diagnostic problems. (2015) Microsurgical Treatment of Optic Nerve Metastasis: Case Report and Review of the Literature. Sl. Kondoff et al we present a rare case of optic nerve metastasis in a previously diagnosed breast cancer patient.
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