Dergiler / Retina-Vitreus / 2012 / Cilt: 20 - Sayı: 2

An optic nerve sheath meningioma presenting with choroidal folds and vision loss

Koroid katlantıları ve görme kaybı ile seyreden optik sinir kılıfı menenjiomu

Sayfa
134–136
DOI
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Yapay Zeka Hızlı Bakış & Çıkarımlar

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⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

Moreover, based on this case we report the clinical course and treatment options for optic nerve sheath meningioma.

📌 3 Maddede Bu Makale

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Amaç & Hipotez:We report an optic nerve sheath meningioma case in a 57-year-old woman admitted to our clinic with unilateral vision loss.
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Temel Bulgular & Veri:Best corrected visual acuity (VA) was 1/10 on the Snellen chart at admittance.
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Sonuç & Katkı:Moreover, based on this case we report the clinical course and treatment options for optic nerve sheath meningioma.
🔬Tür:Araştırma Makalesi
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Alan Parametreleri

Özet

We report an optic nerve sheath meningioma case in a 57-year-old woman admitted to our clinic with unilateral vision loss. Best corrected visual acuity (VA) was 1/10 on the Snellen chart at admittance. The only fundoscopic finding was macular choroidal folds. The orbital MRI scan revealed optic nerve sheath meningioma. The patient was referred to the neurosurgery department and received radiotherapy. Six months after treatment VA was 2/10 in the right eye and the choroidal folds persisted on fundoscopy. Moreover, based on this case we report the clinical course and treatment options for optic nerve sheath meningioma.

Abstract

Kliniğimize tek taraflı görme kaybı şikayetiyle başvuran 57 yaşında bayan hastada saptanan optik sinir kılıfı menenjiomu olgusunu sunduk. Başlangıçta hastanın en iyi düzeltilmiş görme keskinliği Snellen eşeli ile 1/10 idi. Fundus muayenesindeki tek bulgu koroidal katlantılardı. Orbital MR sonucunda optik sınır kılıfı menenjiomu saptandı. Hasta beyin cerrahisi kliniği ile konsülte edildi ve radyoterapi uygulandı. Tedaviden 6 ay sonra sağ gözde görme keskinliği 2/10 idi ve fundus muayenesinde koroidal katlantılar devam etmekteydi. Bu olgunun ışığında optik sinir kılıfı menenjiomunun klinik seyri ve tedavi seçeneklerini de değerlendirdik.

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Bu Makaleye Atıf Yap

ŞEKERYAPAN, B., ASLAN, M. G., DURMUŞ, M. (2012). An optic nerve sheath meningioma presenting with choroidal folds and vision loss. Retina-Vitreus, Cilt: 20 - Sayı: 2, 134–136. https://ajindex.com/articles/308067

Kaynakça (16)

  1. Gunduz K. Optic nerve tumours. T Klin Oftalmol 2009;2:107-13
  2. Spencer WH. Primary neoplasms of the optic nerve and its sheaths: clinical features and current concepts of pathogenetic mechanisms. Trans Am Ophthalmol Soc 1972;70:490-528
  3. Yayla K, Cetin EN, Yaylalı V, et al. Optic nerve sheath meningioma. T Oft Derg 2009;39:145-7
  4. Dutton JJ. Optic nerve sheath meningiomas. Surv Ophthalmology 1992,37:167-83
  5. Dutton JJ. Optic nerve gliomas and meningiomas. Neurol Clin 1991;1:163-77
  6. Kennerdell JS, Maroon JC, Malton M, et al. The management of optic nerve sheath meningiomas. Am J Opthalmol 1988;106:450-7
  7. Steuhl KP, Richard G, Weidle EG. Clinical observations concerning choroidal folds. Ophthalmologica 1985;190:219-24
  8. Soylev MF, Saatci O, Saatci I, et al. Choroidal folds associated with a sellar mass. Int Ophthalmol 1996-1997;20:259-61
  9. Lindblom B, Truwit CL, Hoyt WF. Optic nerve sheath meningioma definition of intraorbital, intracanalicular and intracranial components with magnetic resonance imaging. Ophthalmology 1992;99:560-6
  10. Turbin RE, Thompson CR, Kennerdell JS, et al. A long-term visual outcome comparison in patients with optic nerve sheath meningioma managed with observation, surgery, radiotherapy, or surgery and radiotherapy. Ophthalmology 2002;109:890-9
  11. Pitz S, Becker G, Schiefer U, et al. Stereotactic fractionated irradiation of optic nerve sheath meningioma: a new treatment alternative. Br J Ophthalmol 2002;86:1265-8
  12. Richards JC, Roden D, Harper CS. Management of sight threatening optic nerve sheath meningioma with fractionated stereotactic radiotherapy. Clin Exp Ophthalmol 2005;33:137-41
  13. Carrasco JR, Penne RB. Optic nerve sheath meningiomas and advanced treatment options. Curr Opin Ophthamol 2004;15:406-10
  14. Goldsmith BJ, Wara WM, Wilson CB, et al. Postoperative irradiation for subtotally resected meningiomas: a retrospective analyses of 140 patients treated from 1967 to 1990. J Neurosurg 1994;80:195-201
  15. Backhouse O, Simmons I, Frank A, et al. Optic nerve breast metastasis mimicking meningioma. Aust N Z J Ophthalmol 1998;26:247-9
  16. Paus S, Klockgether T, Schlegel U, et al. Meningioma of the optic nerve sheath: treatment with hydroxyurea. J Neurol Neurosurg Psychiatry 2003;74:1348-50.