Serova N K, Konovalov A N, Eliava Sh Sh, Tropinskaya O F, Kuchina O B, Eliseeva N M, Pronin I N, Pilipenko Yu V
Burdenko Neurosurgical Institute, Moscow, Russia.
Zh Vopr Neirokhir Im N N Burdenko. 2016;80(5):90-97. doi: 10.17116/neiro201680590-97.
The article presents two rare clinical cases of low-grade (WHO grade I-II) glioma of the anterior visual pathway structures, the chiasm and optic nerves, in adults. The feature of these cases was the benign nature of a chiasm and optic nerve glioma in adults as well as its presentation in the form of hemorrhage to the tumor and parenchymal and subarachnoid space, which to some extent complicated making the correct diagnosis. Removal of an intracerebral hematoma and open tumor biopsy were performed in one case, and removal of a hematoma and partial tumor resection followed by radiotherapy were performed in the other case.
本文介绍了两例成人前视觉通路结构(视交叉和视神经)的低级别(世界卫生组织I-II级)胶质瘤的罕见临床病例。这些病例的特点是成人视交叉和视神经胶质瘤的良性性质,以及其以肿瘤内出血、实质内出血和蛛网膜下腔出血的形式出现,这在一定程度上使正确诊断变得复杂。其中一例进行了脑内血肿清除和开放性肿瘤活检,另一例进行了血肿清除和部分肿瘤切除,随后进行了放射治疗。