Pearls & Oy-sters: Optic tract syndrome

The optic tract is a white matter band that projects from the chiasm to the lateral geniculate body. Given this particular anatomy, lesions of this structure may result in several typical clinical features which are often under-recognized. We present a case of massive recurrence of an epidermoid tumor of the cerebellopontine angle that presented with manifestations of optic tract involvement. A 46-year-old man presented with several months of right visual field …