Transient obscuration of vision

BMJ Case Rep. 2012 Aug 18;2012:bcr2012006740. doi: 10.1136/bcr-2012-006740.


A previously well 13-year-old girl presented with a 4-month history of progressively worsening headache and visual disturbance. At fourth presentation, examination showed bilateral papilloedema and a left homonymous hemianopia. CT and MRI scans revealed a tumour obstructing the third ventricle with consequent hydrocephalus. Following uncomplicated endoscopic surgery, both headache and visual function improved. Several features of the history were highly suggestive of raised intracranial pressure and were overlooked initially.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Craniopharyngioma / complications*
  • Craniopharyngioma / diagnosis
  • Craniopharyngioma / therapy
  • Drainage
  • Female
  • Headache / etiology
  • Hemianopsia / etiology*
  • Humans
  • Hydrocephalus / complications*
  • Papilledema / etiology
  • Pituitary Neoplasms / complications*
  • Pituitary Neoplasms / diagnosis
  • Pituitary Neoplasms / therapy
  • Radiotherapy, Conformal