Higashida Tetsuhiro, Sakata Katsumi, Kanno Hiroshi, Kawasaki Takashi, Tanabe Yutaka, Yamamoto Isao
Department of Neurosurgery, Yokohama City University School of Medicine, Yokohama, Japan.
Neurol Med Chir (Tokyo). 2007 May;47(5):215-8. doi: 10.2176/nmc.47.215.
A 64-year-old man presented with a rare sporadic hemangioblastoma arising in the left optic nerve manifesting as left visual disturbance gradually progressive over 5 years. Magnetic resonance imaging revealed a well-enhanced mass in the left optic nerve. Partial resection of the tumor was performed via the frontoorbital approach. The histological diagnosis was optic nerve hemangioblastoma. Hemangioblastoma must be considered in the differential diagnosis of optic nerve tumors even in the absence of other lesions associated with von Hippel-Lindau disease.
一名64岁男性患者,左视神经出现罕见的散发性成血管细胞瘤,表现为左视力障碍,5年来逐渐进展。磁共振成像显示左视神经有一个强化良好的肿块。通过额眶入路对肿瘤进行了部分切除。组织学诊断为视神经成血管细胞瘤。即使没有与冯·希佩尔-林道病相关的其他病变,在视神经肿瘤的鉴别诊断中也必须考虑成血管细胞瘤。