Matos Rita Joana Castro, Gil Pedro Nuno Beirão Cardoso Quadrado, Pires Joana Margarida Silva, Lopes Nádia
Department of Ophthalmology, Centro Hospitalar do Baixo , Vouga, Aveiro, Portugal.
Department of Ophthalmology, Centro Hospitalar do Baixo, Vouga, Aveiro, Portugal; Department of Ophthalmology, Centro Hospitalar Médio Tejo, Tomar, Portugal.
Neuroophthalmology. 2016 May 27;40(5):222-224. doi: 10.1080/01658107.2016.1183133. eCollection 2016 Oct.
A wide range of pathologies can cause papilloedema. Vestibular schwannoma is a benign and slow-growing tumour that causes symptoms and findings on ophthalmic examination when the diagnostic is delayed. The authors report a case of a 64-year-old male who presented with bilateral disc oedema secondary to a vestibular schwannoma grade 4. Obstructive hydrocephalus was not evident. The authors suggest that cerebrospinal fluid protein may have a role in the formation of optic disc oedema. A right suboccipital craniectomy was performed to remove the tumour, leading to secondary facial palsy.
多种病理情况可导致视乳头水肿。前庭神经鞘瘤是一种良性且生长缓慢的肿瘤，若诊断延迟，会在眼科检查时出现症状和体征。作者报告了一例64岁男性患者，其因4级前庭神经鞘瘤继发双侧视盘水肿。未发现梗阻性脑积水。作者认为脑脊液蛋白可能在视盘水肿的形成中起作用。行右侧枕下颅骨切除术以切除肿瘤，术后导致继发性面神经麻痹。
