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October 14, 2025Practical Neurology

Focal leptomeningeal metastases causing binocular vision loss

Supriya Uppula Sapna Mittal Divyani Garg Ajay Garg Shantanu Bora Charli Roy Aparna Mahalik Khangembam Bangkim Chandra Divya M. Radhakrishnan Awadh Kishore Pandit Achal Kumar Srivastava Ayush Agarwal

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Key Points

Bilateral vision loss was observed in a middle-aged man due to focal leptomeningeal metastases.
The condition was caused by an underlying adenocarcinoma that had previously gone unnoticed.
The diagnosis reveals a rare cause of vision loss that can arise from metastasis of cancers.
Early recognition of such cases is crucial for appropriate management and intervention.

Implication

Case report identifies focal leptomeningeal metastases causing binocular vision loss, suggesting a rare clinical presentation.

Abstract

We describe a rare cause of bilateral vision loss in a middle-aged man caused by leptomeningeal metastasis from an occult adenocarcinoma.

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Cite This Study

Uppula et al. (2025) studied this question.

synapsesocial.com/papers/68f0f51d8dd8ea469b1d6f00 https://doi.org/10.1136/pn-2025-004805

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