{"doi":"10.1159/000549940","title":"A Cavernous Sinus Meningioma in a Child with Progressive Bilateral Visual Loss Ultimately Attributed to Unsuspected Optic Nerve Sheath Meningiomas","abstract":"Introduction: Pediatric optic nerve sheath meningiomas (ONSMs) are rare and have an aggressive presentation often resulting in rapid vision decline. Here, we report a case of a right cavernous sinus meningioma (CSM) with a delayed diagnosis of concomitant bilateral ONSMs, ultimately leading to permanent bilateral blindness. Case Presentation: A 7-year-old boy with a history of a right trochlear nerve palsy and amblyopia presented with worsening right eye vision. An MRI revealed a right CSM that was resected; however, the patient experienced a progressive visual acuity decline from 20/60 right eye and 20/40 left eye to light perception right eye and 20/400 left eye, along with bilateral optic atrophy appreciated on optical coherence tomography. Repeat evaluation of the brain MRIs revealed bilateral ONSMs characterized by a tram-track appearance. The visual acuity remained unimproved 3 years after optic canal decompression with optic nerve sheath fenestration followed by proton beam radiation. Conclusion: Pediatric ONSM is rare, with a high risk of permanent blindness in children. Intracranial meningioma and unexplained painless vision loss should prompt a careful evaluation of orbital neuroimaging for this condition.","journal":"Case Reports in Ophthalmology","year":2025,"id":584776,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":0,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9494,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2025-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1498266,"name":"Carson S. Walker","orcid":null,"position":1,"is_corresponding":false},{"id":1498267,"name":"Yusra A. Ahmedin","orcid":null,"position":2,"is_corresponding":false},{"id":1469776,"name":"Masis A. Ohan","orcid":null,"position":3,"is_corresponding":false},{"id":307094,"name":"Nicholas A. Vitanza","orcid":"0000-0002-3966-4985","position":4,"is_corresponding":false},{"id":607797,"name":"Ralph P. Ermoian","orcid":"0000-0002-7514-0943","position":5,"is_corresponding":false},{"id":718364,"name":"Erin Crotty","orcid":"0000-0002-2362-695X","position":6,"is_corresponding":false},{"id":802689,"name":"Courtney E. Francis","orcid":"0000-0001-6156-3585","position":7,"is_corresponding":false},{"id":364507,"name":"Michelle T. Cabrera","orcid":"0000-0002-8218-0775","position":8,"is_corresponding":false},{"id":1498265,"name":"Debbie X. Wang","orcid":null,"position":0,"is_corresponding":true}],"reference_count":12,"raw_metadata":null,"created_at":"2026-07-19T02:59:16.166424Z","pmid":"41551201","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}