Di Somma Alberto, Kaen Ariel Matias, Cárdenas Ruiz-Valdepeñas Eugenio, Cavallo Luigi Maria
Division of Neurosurgery, School of Medicine and Surgery, Università degli Studi di Napoli "Federico II", Naples, Italy.
Department of Neurological Surgery, Hospital Virgen Del Rocío, Sevilla, Spain.
World Neurosurg. 2018 May;113:82-85. doi: 10.1016/j.wneu.2018.02.032. Epub 2018 Feb 14.
In this study we report an uncommon endoscopic endonasal image of an atrophic optic nerve as seen after surgical removal of a suprasellar meningioma. The peculiarity of this case is the long-lasting underestimated ocular symptomatology of the patient who reported a 15-year history of impairment of vision on her left eye.
A 51-year-old woman was admitted to our hospital complaining of a 15-year history of impairment of vision on her left eye. After making serendipitously the diagnosis of a suprasellar mass, we performed endoscopic endonasal surgery.
The tumor was reached from below and removed safely, without manipulation of the optic pathways. At the end of tumor removal, the impressive left optic nerve atrophy due to enduring local tumor compression was visualized.
To the best of our knowledge, no endoscopic endonasal image with such features has been provided in the pertinent literature. Possibly, this contribution will help identify damaged optic nerves during endoscopic endonasal surgery.
在本研究中，我们报告了1例在经鼻内镜下切除鞍上脑膜瘤后所见的萎缩性视神经罕见图像。该病例的特殊之处在于，患者长期存在未被重视的眼部症状，其左眼视力受损已有15年病史。
一名51岁女性因左眼视力受损15年而入院。偶然诊断为鞍上肿物后，我们实施了经鼻内镜手术。
从下方抵达肿瘤并安全切除，未对视神经通路进行操作。肿瘤切除后，可见因长期局部肿瘤压迫导致的左侧视神经明显萎缩。
据我们所知，相关文献中尚未提供具有此类特征的经鼻内镜图像。该报告可能有助于在经鼻内镜手术中识别受损的视神经。
