A 73-Year-Old Woman With Confusion, Visual Field Disturbances, and Edematous White Matter Lesions: From the National Multiple Sclerosis Society Case Conference Proceedings

Zachery Rohm; Myla D Goldman; Claire Riley; Scott S Zamvil; Siddharama Pawate

doi:10.1212/NXI.0000000000200300

A 73-Year-Old Woman With Confusion, Visual Field Disturbances, and Edematous White Matter Lesions: From the National Multiple Sclerosis Society Case Conference Proceedings

Neurol Neuroimmunol Neuroinflamm. 2024 Sep;11(5):e200300. doi: 10.1212/NXI.0000000000200300. Epub 2024 Aug 14.

Authors

Zachery Rohm¹, Myla D Goldman¹, Claire Riley¹, Scott S Zamvil¹, Siddharama Pawate¹

Affiliation

¹ From the Department of Neurology (Z.R., S.P.), Vanderbilt University Medical Center, Nashville, TN; Department of Neurology (M.D.G.), Virginia Commonwealth University, Richmond; Department of Neurology (C.R.), Columbia University; and Department of Neurology (S.S.Z.), University of California San Francisco.

Abstract

We describe the case of a 73-year-old woman presenting with headaches, confusion, and vision disturbances. Brain MRI showed a large T2-hyperintense lesion in the right temporo-occipital region with vasogenic edema and leptomeningeal enhancement. A leptomeningeal biopsy was performed, which led to a definitive diagnosis.

Publication types

Case Reports

MeSH terms

Aged
Brain Edema / diagnostic imaging
Confusion* / etiology
Female
Humans
Magnetic Resonance Imaging
Multiple Sclerosis / complications
Multiple Sclerosis / diagnostic imaging
Vision Disorders* / diagnosis
Vision Disorders* / etiology
Visual Fields / physiology
White Matter / diagnostic imaging
White Matter / pathology