视神经鞘膜脑膨出：一例报告
Optic Nerve Sheath Meningocele: A Case Report.
作者信息
Halimi E, Wavreille O, Rosenberg R, Bouacha I, Lejeune J-P, Defoort-Dhellemmes S
机构信息
Service des Explorations de la Vision et Neuro-Opthalmologie, Hôpital Roger Salengro CHRU, Lille France.
Service de Neurochirurgie, Hôpital Roger Salengro CHRU, Lille France.
出版信息
Neuroophthalmology. 2013 Mar 22;37(2):78-81. doi: 10.3109/01658107.2013.766219. eCollection 2013.
Isolated optic nerve sheath meningocele is a rare affection defined as the cystic enlargement of the optic nerve sheath filled with cerebrospinal fluid. We report the case of a 39-year-old woman presenting with bilateral meningocele uncovered during a routine examination for headache complaints. A 5-year follow-up validated the lesion's clinical and imaging stability. Magnetic resonance imaging (MRI) is an essential tool in the diagnosis of this pathology, alongside characteristic symptoms indicating that the meningocele might have progressively expanded into the orbit. In this case we present a therapeutic approach based on pathophysiological hypotheses and review of the literature.
孤立性视神经鞘脑膜膨出是一种罕见病症，定义为视神经鞘的囊性扩大，内充满脑脊液。我们报告一例39岁女性病例，该患者因头痛主诉在常规检查中发现双侧脑膜膨出。5年的随访证实了病变在临床和影像学上的稳定性。磁共振成像（MRI）是诊断这种疾病的重要工具，同时伴有特征性症状提示脑膜膨出可能已逐渐扩展至眼眶。在本病例中，我们基于病理生理假说并结合文献复习提出了一种治疗方法。
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