Malignant optic glioma causing blindness was difficult to diagnose prior to the introduction of computerized tomography (CT) and magnetic resonance (MR) imaging, because earlier neuroradiological procedures often gave negative results and the clinical symptoms for this entity are not specific. In such cases only a craniotomy or postmortem examination revealed the tumor. The authors found no precise description in the literature of a malignant optic glioma diagnosed with modern imaging methods. They present a patient in whom biopsy results confirmed the CT and MR findings of glioblastoma multiforme of the optic chiasm.
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