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婴儿期颅咽管瘤致失明:一种非罕见但常被误诊的症状。

Amaurosis in infancy due to craniopharyngioma: a not-exceptional but often misdiagnosed symptom.

机构信息

Department of Neurosurgery, Treviso Regional Hospital-University of Padova, Treviso, Italy.

出版信息

Neurosurg Focus. 2010 Apr;28(4):E7. doi: 10.3171/2010.1.FOCUS09262.

Abstract

Since children may not be able to complain of progressive reduction in optic acuity, visual assessment in infancy may present practical difficulties. The authors report a case of craniopharyngioma, which led a young child to early blindness before the correct diagnosis could be made. Similar to other reported cases, the authors found that surgery did not substantially modify the preoperative visual deficit. They conclude that minimal improvement in visual acuity can be expected despite successful microsurgical removal of the tumor.

摘要

由于儿童可能无法抱怨视力逐渐下降,因此婴儿期的视力评估可能存在实际困难。作者报告了一例颅咽管瘤的病例,该肿瘤导致一个幼儿在做出正确诊断之前就失明了。与其他报道的病例一样,作者发现手术并不能显著改善术前的视力缺陷。他们得出结论,尽管肿瘤成功地进行了微创手术切除,但视力仍有望得到最小程度的改善。

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