Gray R S, Abrahams J J, Hufnagel T J, Kim J H, Lesser R L, Spencer D D
Department of Ophthalmology and Visual Science, Yale University School of Medicine, New Haven, Connecticut 06510-8061.
J Clin Neuroophthalmol. 1989 Jun;9(2):98-104.
A case of steroid-responsive malignant lymphoma of the optic chiasm is reported in a 58-year-old woman presenting with subacute vision loss, headaches, and decreased hearing. The exquisite sensitivity of magnetic resonance imaging (MRI) of the parasellar area and the usefulness of MR-directed stereotactic biopsy in identifying a chiasmatic lesion are shown. Primary CNS lymphomas are briefly reviewed. Ophthalmologists will be asked to evaluate patients with malignant lymphoma of the optic chiasm with increased frequency in the future, as CNS lymphomas are expected to be the most common neurological neoplasm by 1991.
报告了一例发生于视交叉的类固醇反应性恶性淋巴瘤，患者为一名58岁女性，表现为亚急性视力丧失、头痛和听力减退。展示了鞍旁区域磁共振成像（MRI）的高敏感性以及磁共振引导下立体定向活检在识别视交叉病变中的作用。对原发性中枢神经系统淋巴瘤进行了简要回顾。由于预计到1991年中枢神经系统淋巴瘤将成为最常见的神经肿瘤，未来眼科医生将被要求更频繁地评估视交叉恶性淋巴瘤患者。
