Clinical features

TL;DR: Subjective symptoms of suprasellar meningiomata are primarily failing vision, which is often monosymptomatic and unilateral.

Abstract: Subjective symptoms The most common initial subjective symptom is a complaint of failing vision, by the patient described in more or less detail as a mist or shadow before the eye, but sometimes only as dim vision. The description of the onset of the visual disturbance is commonly vague: without the positive scotoma of retrobulbar neuritis. Sometimes the accidental closing of one eye has revealed that the other had little or no vision. In the present series failing vision was reported as the single subjective complaint in 21 cases. This is in good agreement with the observations of Cushing & Eisenhardt (1938), Guillaumat (1937) and VCrin (1963). I t may be concluded that about 75 % of suprasellar meningiomata present with monosymptomatic failing vision, in several cases in one eye only. Far less frequently, the patient has been aware of a temporal constriction of the visual field, in one or both eyes. Statements in the literature about this do not seem reliable, and might easily have been induced