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良性前颅底病变的神经眼科表现。

Neuro-ophthalmologic manifestations of benign anterior skull base lesions.

作者信息

Hornyak Mark, Digre Kathleen, Couldwell William T

机构信息

Department of Neurosurgery, University of Utah, Salt Lake City, UT 84132, USA.

出版信息

Postgrad Med. 2009 Jul;121(4):103-14. doi: 10.3810/pgm.2009.07.2036.

Abstract

Visual disturbance is a common presenting symptom of anterior skull base lesions. These lesions cause deterioration in visual acuity, restriction of the visual field, or reduction of ocular mobility. Common pathological entities that affect the skull base and involve vision include meningioma, pituitary adenoma, tumors of the bone, malignancy, and infection. Benign lesions are typically treated surgically with acceptable long-term results. In this article, we review the presentation, evaluation, and surgical treatment of patients with benign skull base lesions presenting with visual disturbance.

摘要

视觉障碍是前颅底病变常见的首发症状。这些病变会导致视力下降、视野受限或眼球活动度降低。影响颅底并累及视力的常见病理实体包括脑膜瘤、垂体腺瘤、骨肿瘤、恶性肿瘤和感染。良性病变通常通过手术治疗,长期效果尚可。在本文中,我们回顾了以视觉障碍为表现的良性颅底病变患者的临床表现、评估和手术治疗。

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