HISTORY
11 yr old boy presented with c/c
- Headache-1 year
- Right vision loss-1 month
EXAMINATION
- Bilatearl mild papillodema
- Right direct light reflex absent
- Right vision-light preception only in nasal half, left-6/9
- Left nasal hemifield defect
TREATMENT
- Left parieto-occipital trephine crniotomy with radical tumor removal done under GA
POST-OPERATIVE PERIOD
- Headache releived, no improvement in right vision
HISTOPATHOLOGY
- Highly malignant-Epithileal origin