Khodeiry, Mohamed M.Lind, John T.Pasol, JoshuaLam, Byron L.Lee, Richard K.2023-04-282023-04-282021-12-31Khodeiry MM, Lind JT, Pasol J, Lam BL, Lee RK. Metastatic paraganglioma presenting as ajunctional scotoma. Am J Ophthalmol Case Rep. 2021;25:101253. Published 2021 Dec 31. doi:10.1016/j.ajoc.2021.101253https://hdl.handle.net/1805/32698Purpose: To report a unique case of metastatic paraganglioma presenting as a junctional scotoma. Observations: A 38-year-old Caucasian man with a history of abdominal paraganglioma presented with minimally blurred vision 20/25 visual acuity in the left eye. The patient was found to have a junctional scotoma upon visual field testing. Cranial MRI revealed a large peri-clival mass compressing the pre-chiasmal optic nerves and other loci of metastatic disease. Intracranial masses, including metastases, can present with a relatively intact central acuity and nonspecific visual symptoms. Conclusions and importance: To the best of our knowledge, this is the first report of metastatic paraganglioma causing a junctional scotoma. In cases with junctional scotoma, careful neuro-ophthalmic assessment and imaging are of paramount importance, even in patients with excellent visual acuity.en-USAttribution-NonCommercial-NoDerivatives 4.0 InternationalParagangliomaVisual field defectJunctional scotomaOptic chiasmArticle