Chong P K S, Loo A V P
Department of Ophthalmology, Hospital Kuala Lumpur, Jalan Pahang, 50586 Kuala Lumpur, Malaysia.
Med J Malaysia. 2008 Dec;63(5):406-7.
We report a 33-year-old Chinese gentleman who presented with visual epilepsy and symptoms of raised intracranial pressure in which clinical examination revealed normal visual fields and acuity despite Magnetic Resonance Imaging (MRI) brain showing large contrast enhancing mass at the right occipital lobe. Craniotomy and excision of tumour was done and the histology confirmed glioblastoma multiforme (GBM). He completed radiotherapy and recovered well except developing left inferior homonymous quadrantropia post operatively which improved with time.
我们报告了一位33岁的中国男性,他表现为视觉性癫痫和颅内压升高的症状,尽管脑部磁共振成像(MRI)显示右侧枕叶有一个大的强化肿块,但临床检查发现视野和视力正常。进行了开颅肿瘤切除术,组织学检查证实为多形性胶质母细胞瘤(GBM)。他完成了放疗,恢复良好,只是术后出现了左下象限同向性视野缺损,随着时间推移有所改善。