C4.003 - Ganglioglioma with Papilledema

Case not moderated.

22 year old female with blurring of vision in both eyes since 1 year, worse since 3 weeks along with holocranial headache with neck pain. Also, transient blurring of vision since 2 months. History of fainting episodes 5-6 times in 1 year.
On Examination, BCVA RE 3/60, LE 6/24p
Pupils -sluggish to light ou
Treatment - levipil, diamox, lasilactone, Inj Methyl Prednisolone 1 g in 500 ml NS/ 3 DAYS

Color fundus photo

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Color Fundus Photo call_made
Disc Edema call_made

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Established papilledema with disc pallor with watermarks

Color Fundus Photo

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Color Fundus Photo call_made
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Established papilledema with disc pallor with watermarks

B scan

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USG B Scan call_made
Disc Edema call_made

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Both eyes optic nerves show increased diameter with ISAF-6.67mm, 4.21 mm

MRI

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MRI call_made
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MRI brain with contrast T1 W Axial, T2 W Axial and Sagittal show right parieto- occipital ganglioglioma with surrounding edema with compressed lateral ventricle, midbrain and midline shift

MRI

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MRI call_made
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MRI

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MRI call_made
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