College
Rowan-Virtua School of Osteopathic Medicine
Keywords
jugular bulb, tumor, papilledema, thrombosis, tumor thrombus, optic disc edema
Date of Presentation
5-1-2025 12:00 AM
Poster Abstract
Optic disc edema, which may arise from a range of inflammatory, ischemic, compressive, infiltrative, or hereditary causes, can also indicate elevated intracranial pressure in the form of papilledema. Given its potential association with life-threatening conditions such as mass lesions or venous sinus thrombosis, timely identification and thorough evaluation are critical. In this case, a 61-year-old female presented with a complaint of a new-onset floater in her left eye. Despite minimal symptoms and an unremarkable systemic review, dilated fundus examination revealed bilateral optic disc edema with hyperemia and hemorrhages, prompting urgent neuroimaging. MRI and MRV identified venous thrombi in the right jugular vein, sigmoid, and transverse sinuses, along with a homogeneously enhancing mass at the right jugular foramen, suspicious for a glomus jugulare tumor or metastatic schwannoma. This case emphasizes the critical role of ophthalmologic evaluation in detecting early signs of serious intracranial pathology and highlights the importance of a thorough, multidisciplinary work-up for patients presenting with optic disc edema, even in the absence of classic neurologic symptoms.
Disciplines
Cardiovascular Diseases | Eye Diseases | Medicine and Health Sciences | Neoplasms | Neurology | Ophthalmology | Pathological Conditions, Signs and Symptoms
Included in
Cardiovascular Diseases Commons, Eye Diseases Commons, Neoplasms Commons, Neurology Commons, Ophthalmology Commons, Pathological Conditions, Signs and Symptoms Commons
Rare Jugular Bulb Tumor Presenting As Bilateral Papilledema
Optic disc edema, which may arise from a range of inflammatory, ischemic, compressive, infiltrative, or hereditary causes, can also indicate elevated intracranial pressure in the form of papilledema. Given its potential association with life-threatening conditions such as mass lesions or venous sinus thrombosis, timely identification and thorough evaluation are critical. In this case, a 61-year-old female presented with a complaint of a new-onset floater in her left eye. Despite minimal symptoms and an unremarkable systemic review, dilated fundus examination revealed bilateral optic disc edema with hyperemia and hemorrhages, prompting urgent neuroimaging. MRI and MRV identified venous thrombi in the right jugular vein, sigmoid, and transverse sinuses, along with a homogeneously enhancing mass at the right jugular foramen, suspicious for a glomus jugulare tumor or metastatic schwannoma. This case emphasizes the critical role of ophthalmologic evaluation in detecting early signs of serious intracranial pathology and highlights the importance of a thorough, multidisciplinary work-up for patients presenting with optic disc edema, even in the absence of classic neurologic symptoms.
