Unilateral Vision Loss as the Only Presenting Symptom of Type 2 Foster Kennedy Syndrome

A 38-year-old woman who presented with painless vision loss in the left eye over the course of 1 week was investigated at a tertiary neuro-ophthalmology clinic. She was otherwise asymptomatic with no reported headaches, focal neurological deficits, anosmia, or behavioural changes. Bilateral optic disc oedema was identified on examination. Neuroimaging and then resection and histopathological evaluation demonstrated a meningothelial meningioma centred on the left sphenoid ridge. The left optic disc later became atrophic. We have therefore described a case of type 2 Foster Kennedy syndrome with unilateral vision loss as the only initial manifestation.