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. 1992 Feb;76(2):117–119. doi: 10.1136/bjo.76.2.117

Pituitary adenoma presenting as the Foster-Kennedy syndrome.

S Ruben 1, J Elston 1, R Hayward 1
PMCID: PMC504177  PMID: 1739707

Abstract

A 27-year-old man presented to the casualty department with visual failure. Clinically he demonstrated the Foster-Kennedy syndrome. Computed tomography revealed a large space-occupying lesion which was subsequently shown to be a pituitary adenoma. The literature is reviewed and possible mechanisms of the Foster-Kennedy syndrome are discussed.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Anderson D., Faber P., Marcovitz S., Hardy J., Lorenzetti D. Pituitary tumors and the ophthalmologist. Ophthalmology. 1983 Nov;90(11):1265–1270. doi: 10.1016/s0161-6420(83)34393-1. [DOI] [PubMed] [Google Scholar]
  2. BYNKE H. The syndrome of Foster Kennedy. Acta Ophthalmol (Copenh) 1958;36(2):129–140. doi: 10.1111/j.1755-3768.1958.tb07703.x. [DOI] [PubMed] [Google Scholar]
  3. Coppeto J. R., Monteiro M. L., Collias J., Uphoff D., Bear L. Foster-Kennedy syndrome caused by solitary intracranial plasmacytoma. Surg Neurol. 1983 Mar;19(3):267–272. doi: 10.1016/s0090-3019(83)80014-7. [DOI] [PubMed] [Google Scholar]
  4. Frenkel R. E., Spoor T. C. Visual loss and intoxication. Surv Ophthalmol. 1986 May-Jun;30(6):391–396. doi: 10.1016/0039-6257(86)90093-7. [DOI] [PubMed] [Google Scholar]
  5. Jarus G. D., Feldon S. E. Clinical and computed tomographic findings in the Foster Kennedy syndrome. Am J Ophthalmol. 1982 Mar;93(3):317–322. doi: 10.1016/0002-9394(82)90532-3. [DOI] [PubMed] [Google Scholar]
  6. Markand O. N., Chandrakar K. L. Foster-Kennedy syndrome in a case of olfactory-groove meningioma. J All India Ophthalmol Soc. 1965 Aug;13(2):75–78. [PubMed] [Google Scholar]
  7. Moss J. P., Freemon F. R., Hester R. W., Toledo J. A. The Foster Kennedy sign: a case with papilledema contralateral to a sphenoid wing meningioma but without apparent optic atrophy. Dis Nerv Syst. 1977 Jan;38(1):62–63. [PubMed] [Google Scholar]
  8. Neville R. G., Greenblatt S. H., Kollartis C. R. Foster Kennedy syndrome and an optociliary vein in a patient with a falx meningioma. J Clin Neuroophthalmol. 1984 Jun;4(2):97–101. [PubMed] [Google Scholar]
  9. Rakes S. M., Yeatts R. P., Campbell R. J. Ophthalmic manifestations of esthesioneuroblastoma. Ophthalmology. 1985 Dec;92(12):1749–1753. doi: 10.1016/s0161-6420(85)34102-7. [DOI] [PubMed] [Google Scholar]
  10. Sanders M. D., Sennhenn R. H. Differential diagnosis of unilateral optic disc oedema. Trans Ophthalmol Soc U K. 1980 Apr;100(Pt 1):123–131. [PubMed] [Google Scholar]
  11. Sanders M. D. The Foster Kennedy sign. Proc R Soc Med. 1972 Jun;65(6):520–521. doi: 10.1177/003591577206500608. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Symon L., Rosenstein J. Surgical management of suprasellar meningioma. Part 1: The influence of tumor size, duration of symptoms, and microsurgery on surgical outcome in 101 consecutive cases. J Neurosurg. 1984 Oct;61(4):633–641. doi: 10.3171/jns.1984.61.4.0633. [DOI] [PubMed] [Google Scholar]
  13. Watnick R. L., Trobe J. D. Bilateral optic nerve compression as a mechanism for the Foster Kennedy syndrome. Ophthalmology. 1989 Dec;96(12):1793–1798. doi: 10.1016/s0161-6420(89)32661-3. [DOI] [PubMed] [Google Scholar]
  14. Wray S. H. Neuro-ophthalmologic manifestations of pituitary and parasellar lesions. Clin Neurosurg. 1977;24:86–117. doi: 10.1093/neurosurgery/24.cn_suppl_1.86. [DOI] [PubMed] [Google Scholar]
  15. von Wowern F. The Foster Kennedy syndrome an evaluation of its diagnostic value. Acta Neurol Scand. 1967;43(2):205–214. doi: 10.1111/j.1600-0404.1967.tb05729.x. [DOI] [PubMed] [Google Scholar]

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