Foster Kennedy syndrome: A case report with literature review

Foster Kennedy was the first to correlate the signs of unilateral optic atrophy and contralateral papilledema to basofrontal expanding lesions and stress its value in localizing the lesions. Subsequently, because of discrepancies in the definition of this syndrome, and arguments about frontal space-occupying lesions and nonspace-occupying lesions as well as confusion among papilledema, dise swelling, and papillitis, some neurologists and ophthalmologists criticized this syndrome and thought that its exact topographic significance had been overrated. We report a 43-year-old female patient of sphenoid ridge meningioma with not only unilateral optic atrophy, contralateral disc swelling, but also headache, seizure and unilateral anosmia. Although exact localization should be aided by other clues, Foster Kennedy syndrome hints a disorder of visual pathways and prompts further neuroradiologic and ophthalmologic evaluations.