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视神经鞘膜瘤完全恢复。

Total recovery of optic nerve sheath meningioma.

作者信息

Charpentier Pierre, Mouriaux Frederic

机构信息

Centre Hospitalier Universitaire de Rennes, ille et Vilaine, Rennes, Catalunya, Girona, Spain.

Centre Hospitalier Universitaire de Rennes, Rennes, Bretagne, France.

出版信息

BMJ Case Rep. 2016 Oct 21;2016:bcr2016215532. doi: 10.1136/bcr-2016-215532.

DOI:10.1136/bcr-2016-215532
PMID:27769976
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5093749/
Abstract

We reported the case of a 43-year-old woman with a rapid progressive visual loss. The diagnosis of primary optic nerve sheath meningioma was made thanks to atypia evolution, clinical and radiological findings. The patient was treated with an intensity-modulated radiotherapy of 50.4 Gy in 28 fractions 2 months after the diagnosis. Visual acuity and visual field were completely recovered after 2 years of follow-up. No late side effects of irradiation were recorded.

摘要

我们报告了一例43岁女性快速进行性视力丧失的病例。根据非典型演变、临床和影像学检查结果,诊断为原发性视神经鞘膜瘤。诊断后2个月,患者接受了强度调制放疗,剂量为50.4 Gy,分28次照射。随访2年后,视力和视野完全恢复。未记录到放疗的晚期副作用。

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本文引用的文献

1
Use of optical coherence tomography in predicting post-treatment visual outcome in anterior visual pathway meningiomas.光学相干断层扫描在预测前视觉通路脑膜瘤治疗后视力预后中的应用。
Br J Ophthalmol. 2013 Nov;97(11):1455-8. doi: 10.1136/bjophthalmol-2013-303449. Epub 2013 Aug 21.
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Diagnosis and management of optic nerve sheath meningiomas.视神经鞘脑膜瘤的诊断与治疗。
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Radiotherapy for optic nerve sheath meningioma: a case for earlier intervention?视神经鞘脑膜瘤的放射治疗:是否需要更早干预?
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Fractionated radiotherapy for optic nerve sheath meningiomas.视神经鞘脑膜瘤的分次放疗。
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Fractionated stereotactic conformal radiotherapy for optic nerve sheath meningiomas.分次立体定向适形放疗视神经鞘脑膜瘤。
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Fractionated stereotactic radiotherapy in patients with optic nerve sheath meningioma.分次立体定向放射治疗视神经鞘脑膜瘤。
Int J Radiat Oncol Biol Phys. 2012 Feb 1;82(2):773-8. doi: 10.1016/j.ijrobp.2010.11.018. Epub 2011 Feb 6.
8
Fractionated stereotactic radiation therapy for orbital optic nerve sheath meningioma - a single institution experience and a short review of the literature.分次立体定向放射治疗眼眶视神经鞘脑膜瘤——单机构经验及文献复习。
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Fractionated conformal radiotherapy for management of optic nerve sheath meningiomas: long-term outcomes of tumor control and visual function at a single institution.分部位适形放疗治疗视神经鞘脑膜瘤:单中心长期肿瘤控制和视力功能的结果。
Int J Radiat Oncol Biol Phys. 2011 May 1;80(1):185-92. doi: 10.1016/j.ijrobp.2010.01.034. Epub 2010 Apr 17.
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Optic nerve sheath meningioma: current diagnosis and treatment.视神经鞘膜瘤:当前的诊断与治疗
Neurosurg Focus. 2007;23(5):E4. doi: 10.3171/FOC-07/11/E4.