Chipczyńska Barbara, Grałek Mirosława, Trzebicka Agnieszka, Hautz Wojciech, Kanigowska Krystyna, Klimczak-Slaczka Dorota
Kliniki Okulistyki Instytutu Pomnik, Centrum Zdrowia Dziecka w Warszawie.
Klin Oczna. 2006;108(4-6):202-5.
The authors describe the case of bilateral optic nerve sheath meningioma /ONSM/ in 14 years old girl. When being hospitalized at the Neurology Clinic with paresis n.VII, the patient was examined by ophthalmologist. The diagnosis was made on the basis of clinical and characteristic changes revealed by USG, CT and MRI. The very first ophthalmologic examination confirmed a visual acuity 5/5 OD and hand movements OS, associated with papilloedema OD and edematous optic atrophy OS. The use of USG, CT and MRI revealed bilateral tubular thickening of the optic nerves (8mm), with calcification. After the period of one year, clinical progression was observed. The intracranial tumor extended. It was shown in diagnostic imaging. The patient was operated on by neurosurgeons with histopathology verification. In the later stage she underwent radiotherapy. The case has been described because of its diagnostic and therapeutic difficulties.
作者描述了一名14岁女孩双侧视神经鞘脑膜瘤（ONSM）的病例。该患者因面神经麻痹入住神经科诊所时，眼科医生对其进行了检查。诊断基于超声检查（USG）、计算机断层扫描（CT）和磁共振成像（MRI）所显示的临床及特征性变化。首次眼科检查证实右眼视力为5/5，左眼仅能感知手动，右眼伴有视乳头水肿，左眼为水肿性视神经萎缩。超声检查、CT和MRI显示双侧视神经呈管状增厚（8毫米），伴有钙化。一年后，观察到临床病情进展。颅内肿瘤扩大，在诊断成像中显示出来。神经外科医生为患者实施了手术，并进行了组织病理学验证。在后期，她接受了放射治疗。由于该病例在诊断和治疗方面存在困难，故予以描述。
