Visual field restoration after Simpson grade I resection of symptomatic occipital lobe meningioma: illustrative case and review of the literature

Intracranial meningiomas mostly affect patients in their fifth decade and beyond, raising pertinent questions regarding the risk of surgery, particularly in the elderly. Here, we describe the case of a septuagenarian patient with occipital meningioma causing severe visual field cuts that experienced full recovery of the visual function after a Simpson I resection of the lesion. This case illustrates the potential of recovery of the brain, even in the case of severely impaired function in elderly patients. To complete the picture, we review the literature on occipital meningiomas, advocating for systematic reports and increase data collection on post-operative neurological recovery in the elderly.

Automated summary

Elderly patients with occipital meningioma causing severe visual field cuts can experience full recovery of visual function after surgery. This highlights the potential for brain recovery even in cases of severely impaired function in the elderly. Advocacy for systematic reporting and increased data collection on post-operative neurological recovery in elderly patients is recommended.