We identified the patient details and described the case as documented in the patient chart on CERNER electronic medical record. Further, we have independently reviewed the literature on google by using the following key words- “intracranial mass”, “intracranial hypertension” and “Foster-Kennedy Syndrome”.  MRI scan images were obtained from the patient record.

A 38-year-old previously healthy right-handed female presented with headaches and declining vision in bilateral eyes and throbbing headache since 15 days. She denied any other neuro-ophthalmic symptoms. On examination, visual acuity was 20/40 in the left eye and decreased light perception in the right eye. MRI of the brain and orbits showed a meningeal mass compressing on the right transverse sinus and another compressing on the prechiasmatic right optic nerve. We diagnosed the patient with compressive optic neuropathy of the right eye and papilledema of the left eye. She was prescribed acetazolamide and a ventriculoperitoneal shunt was placed, resulting in an improvement in vision and a decline in intra-cranial hypertension