HEADACHE AND PROGRESSIVE VISUAL LOSSCase Conference IDepartment of Neurology LeeChuy, Katherine Lee, Sidney Albert Legaspi, Roberto Jose Lerma, Daniel Joseph Li, Henry Winston Li, Kingbherly Lichauco, Rafael Lim, Imee Loren Lim, Jason Morven Lim, John Harold Lim, Mary Lim, Phoebe Ruth Lim, SyndelRaina Lipana, Kirk Andrew
51 y/o, Male • Chief complaint: Eight months of progressive visual loss and headache
OPHTHALMOLOGIC FINDINGS • Mild bilateral papilledema with some pallor of the right optic disc • Visual fields with enlarged blind spot • Concentric loss of the peripheral visual fields in both eyes (he could see only the center of the visual field with either eye)
Other Exams • The remainder of his neurologic exam was normal.
LOCALIZATION AND DIFFERENTIAL DIAGNOSIS • 1. Headache, papilledema and visual field loss of this kind is seen in what syndrome? • 2. What is the appropriate test to perform next?