A rare case of vision loss caused by leptomeningeal metastasis of lung adenocarcinoma: a case report and literature review

Leptomeningeal metastasis (LM) is a fatal complication with increasing incidence in patients with non-small cell lung cancer. Herein, we present the case of a patient who presented with complete vision loss due to LM and achieved a survival benefit from treatment with trametinib. The treatment was p...

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Main Authors: Zhihua Li, Jian Chu, Wennan Shen, Junnan Chen, Yuemei Dong, Manze Zhang, Nan Zhao, Wei Zhao, Haoran Zha, Ning Wang, Yalin Han, Zhaoxia Li
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-02-01
Series:Frontiers in Oncology
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Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2025.1484383/full
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author Zhihua Li
Jian Chu
Wennan Shen
Junnan Chen
Yuemei Dong
Manze Zhang
Nan Zhao
Wei Zhao
Haoran Zha
Ning Wang
Yalin Han
Zhaoxia Li
author_facet Zhihua Li
Jian Chu
Wennan Shen
Junnan Chen
Yuemei Dong
Manze Zhang
Nan Zhao
Wei Zhao
Haoran Zha
Ning Wang
Yalin Han
Zhaoxia Li
author_sort Zhihua Li
collection DOAJ
description Leptomeningeal metastasis (LM) is a fatal complication with increasing incidence in patients with non-small cell lung cancer. Herein, we present the case of a patient who presented with complete vision loss due to LM and achieved a survival benefit from treatment with trametinib. The treatment was prescribed based on the detection of a BRAF non-V600E mutation in the cerebrospinal fluid (CSF). We reviewed the literature and evaluated survival benefits in patients with LM harboring BRAF non-V600E mutations treated with CSF chemotherapy and mitogen-activated extracellular signal-regulated kinase inhibitors.
format Article
id doaj-art-94bad32213a74aabbf4b56c66f35de15
institution Kabale University
issn 2234-943X
language English
publishDate 2025-02-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Oncology
spelling doaj-art-94bad32213a74aabbf4b56c66f35de152025-02-10T05:16:12ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2025-02-011510.3389/fonc.2025.14843831484383A rare case of vision loss caused by leptomeningeal metastasis of lung adenocarcinoma: a case report and literature reviewZhihua LiJian ChuWennan ShenJunnan ChenYuemei DongManze ZhangNan ZhaoWei ZhaoHaoran ZhaNing WangYalin HanZhaoxia LiLeptomeningeal metastasis (LM) is a fatal complication with increasing incidence in patients with non-small cell lung cancer. Herein, we present the case of a patient who presented with complete vision loss due to LM and achieved a survival benefit from treatment with trametinib. The treatment was prescribed based on the detection of a BRAF non-V600E mutation in the cerebrospinal fluid (CSF). We reviewed the literature and evaluated survival benefits in patients with LM harboring BRAF non-V600E mutations treated with CSF chemotherapy and mitogen-activated extracellular signal-regulated kinase inhibitors.https://www.frontiersin.org/articles/10.3389/fonc.2025.1484383/fullleptomeningeal metastasisBRAF non-V600E mutationNSCLCtrametinibvision losscase report
spellingShingle Zhihua Li
Jian Chu
Wennan Shen
Junnan Chen
Yuemei Dong
Manze Zhang
Nan Zhao
Wei Zhao
Haoran Zha
Ning Wang
Yalin Han
Zhaoxia Li
A rare case of vision loss caused by leptomeningeal metastasis of lung adenocarcinoma: a case report and literature review
Frontiers in Oncology
leptomeningeal metastasis
BRAF non-V600E mutation
NSCLC
trametinib
vision loss
case report
title A rare case of vision loss caused by leptomeningeal metastasis of lung adenocarcinoma: a case report and literature review
title_full A rare case of vision loss caused by leptomeningeal metastasis of lung adenocarcinoma: a case report and literature review
title_fullStr A rare case of vision loss caused by leptomeningeal metastasis of lung adenocarcinoma: a case report and literature review
title_full_unstemmed A rare case of vision loss caused by leptomeningeal metastasis of lung adenocarcinoma: a case report and literature review
title_short A rare case of vision loss caused by leptomeningeal metastasis of lung adenocarcinoma: a case report and literature review
title_sort rare case of vision loss caused by leptomeningeal metastasis of lung adenocarcinoma a case report and literature review
topic leptomeningeal metastasis
BRAF non-V600E mutation
NSCLC
trametinib
vision loss
case report
url https://www.frontiersin.org/articles/10.3389/fonc.2025.1484383/full
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