[成人视神经胶质瘤的临床表现与诊断]

[The clinical picture and diagnosis of optic nerve gliomas in adults].

作者信息

Gabibov G A, Sokolova O N, Cherekaev V A

出版信息

Vestn Oftalmol. 1989 Sep-Oct;105(5):40-4.

Abstract

Gliomas of the optic nerve are more often in childhood and adolescence. The present paper analyzes the clinical features and diagnosis of optic nerve gliomas in 41 adult patients aged 15 to 56. Comparative analysis of the clinical picture and diagnostic specificities in optic nerve gliomas in adults and children has revealed a longer duration of the disease, less manifest exophthalmos and dilatation of the optic canal on the side of the tumor in adults. Analysis of computerized tomography data has prompted singling out 2 types of optic nerve glioma images: (1) spindle-shaped dilatation of the optic nerve in the orbit and (2) even thickening of the optic nerve along its whole length in the orbit. Each of these glioma tomographic images is associated with specific clinical features. Differential diagnosis between optic nerve gliomas and meningiomas in adults in described.

摘要

视神经胶质瘤多见于儿童和青少年时期。本文分析了41例年龄在15至56岁之间的成年患者视神经胶质瘤的临床特征及诊断情况。对成人和儿童视神经胶质瘤的临床表现及诊断特异性进行比较分析后发现，成人患者病程更长，眼球突出和肿瘤侧视神经管扩张的表现较轻。对计算机断层扫描数据的分析促使区分出两种视神经胶质瘤图像类型：（1）眼眶内视神经呈纺锤形扩张；（2）眼眶内视神经全长均匀增粗。这些胶质瘤断层图像中的每一种都与特定的临床特征相关。文中还描述了成人视神经胶质瘤与脑膜瘤的鉴别诊断。