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T. Otis Paul, MD; William F. Hoyt, MD

Arch Ophthalmol. 1976;94(3):467-468.

Abstract
In a child with a hypothalamic glioma, elevated intracranial pressure and retrograde optic tract atrophy produced distinctive patterns of papilledema and disc pallor in each eye. On the side of the tract lesion, the disc was swollen nasally and was pale temporally. In the contralateral fundus, the swollen optic disc was bisected horizontally by a pale atrophic band. These funduscopic signs exemplify a rare instance in neuro-ophthalmologic diagnosis wherein specific lateralizing and localizing information can be deduced solely from the appearance of papilledema.

Author Affiliations
From the Neuro-Ophthalmology Unit, departments of neurosurgery, neurology, and ophthalmology, University of California, San Francisco.

Footnotes
Submitted for publication Nov 9, 1974.

Read before the Harrar Medical Society, Bisidimo, Ethiopia, March 8, 1975.

The opinions expressed herein are those of the authors and cannot be construed as reflecting the views of the Navy Department or the Naval service at large.

Reprint requests to Naval Regional Medical Center, San Diego, CA 92134 (Dr Paul).

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