We report a case of tuberculum sellae meningioma with optic tract edema. Co
ntrary to a prior report on this topic, edema along the optic tract is not
only seen in craniopharyngiomas but may be seen (although rarely) in other
common parasellar tumors, as in our case of a tuberculum sellae meningioma.
The pathogenesis of this edema in meningioma is controversial.