{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,17]],"date-time":"2026-01-17T04:37:08Z","timestamp":1768624628849,"version":"3.49.0"},"reference-count":12,"publisher":"S. Karger AG","issue":"1","license":[{"start":{"date-parts":[[2025,12,9]],"date-time":"2025-12-09T00:00:00Z","timestamp":1765238400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,12,9]],"date-time":"2025-12-09T00:00:00Z","timestamp":1765238400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Rep Ophthalmol"],"abstract":"<jats:p>Introduction: Pediatric optic nerve sheath meningiomas (ONSMs) are rare and have an aggressive presentation often resulting in rapid vision decline. Here, we report a case of a right cavernous sinus meningioma (CSM) with a delayed diagnosis of concomitant bilateral ONSMs, ultimately leading to permanent bilateral blindness. Case Presentation: A 7-year-old boy with a history of a right trochlear nerve palsy and amblyopia presented with worsening right eye vision. An MRI revealed a right CSM that was resected; however, the patient experienced a progressive visual acuity decline from 20\/60 right eye and 20\/40 left eye to light perception right eye and 20\/400 left eye, along with bilateral optic atrophy appreciated on optical coherence tomography. Repeat evaluation of the brain MRIs revealed bilateral ONSMs characterized by a tram-track appearance. The visual acuity remained unimproved 3 years after optic canal decompression with optic nerve sheath fenestration followed by proton beam radiation. Conclusion: Pediatric ONSM is rare, with a high risk of permanent blindness in children. Intracranial meningioma and unexplained painless vision loss should prompt a careful evaluation of orbital neuroimaging for this condition.<\/jats:p>","DOI":"10.1159\/000549940","type":"journal-article","created":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T09:11:56Z","timestamp":1765357916000},"page":"57-63","source":"Crossref","is-referenced-by-count":0,"title":["A Cavernous Sinus Meningioma in a Child with Progressive Bilateral Visual Loss Ultimately Attributed to Unsuspected Optic Nerve Sheath Meningiomas"],"prefix":"10.1159","volume":"17","author":[{"given":"Debbie X.","family":"Wang","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carson S.","family":"Walker","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yusra A.","family":"Ahmedin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masis A.","family":"Ohan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3966-4985","authenticated-orcid":false,"given":"Nicholas A.","family":"Vitanza","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ralph P.","family":"Ermoian","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erin E.","family":"Crotty","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6156-3585","authenticated-orcid":false,"given":"Courtney E.","family":"Francis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michelle T.","family":"Cabrera","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"127","published-online":{"date-parts":[[2025,12,9]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.2147\/EB.S144345"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.2147\/IMCRJ.S82795"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1001\/archopht.124.3.379"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1158\/1078-0432.CCR-23-4033"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1167\/iovs.04-1360"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1097\/WNO.0000000000000107"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.55.6.486"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1055\/s-0039-1677689"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1097\/01.iop.0000225420.06323.76"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1007\/s11060-015-1911-1"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1001\/jamaneurol.2018.3989"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1016\/j.crad.2007.12.002"}],"container-title":["Case Reports in Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/karger.com\/article-pdf\/doi\/10.1159\/000549940","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,16]],"date-time":"2026-01-16T17:00:56Z","timestamp":1768582856000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000549940"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,9]]},"references-count":12,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,1,1]]}},"URL":"https:\/\/doi.org\/10.1159\/000549940","archive":["Portico"],"relation":{"is-supplemented-by":[{"id-type":"doi","id":"10.6084\/m9.figshare.30799817","asserted-by":"subject"}]},"ISSN":["1663-2699"],"issn-type":[{"value":"1663-2699","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,9]]}}}