岩斜脑膜瘤表现为同侧第六神经麻痹和对侧同向象限盲：一种独特的具有局部定位特征的综合征。

Petroclival Meningioma Presenting With an Ipsilateral Sixth Nerve Palsy and a Contralateral Homonymous Quadrantanopia: A Unique and Topographically Localizing Syndrome.

机构信息

Department of Ophthalmology & Visual Sciences (AS, LJL, AGL), University of Texas Medical Branch, Galveston, Texas; Department of Ophthalmology (AV, AGL), Blanton Eye Institute, Houston Methodist Hospital, Houston, Texas; Department of Ophthalmology (AGL), Baylor College of Medicine, Houston, Texas; Departments of Ophthalmology, Neurology, and Neurosurgery (AGL), Weill Cornell Medicine, New York, New York; Section of Ophthalmology (AGL), University of Texas MD Anderson Cancer Center, Houston, Texas; and Department of Ophthalmology (AGL), University of Iowa Hospitals and Clinics, Iowa City, Iowa.

出版信息

J Neuroophthalmol. 2019 Sep;39(3):405-407. doi: 10.1097/WNO.0000000000000742.

DOI:10.1097/WNO.0000000000000742

PMID:30664101

Abstract

An 84-year-old woman reported onset of headaches, diplopia, and blurred vision. On examination, she was found to have a left sixth nerve palsy and an incongruous right homonymous hemianopia. Brain MRI demonstrated a left petroclival meningioma, causing this unusual combination of clinical findings. The patient was treated with radiation therapy and has remained stable over 4 years of follow-up.

摘要

一位 84 岁女性患者诉头痛、复视和视力模糊。体格检查发现左侧第六颅神经麻痹和右侧同向性偏盲。颅脑 MRI 显示左侧岩斜脑膜瘤，导致这种不常见的临床表现组合。患者接受了放射治疗，在 4 年的随访中病情稳定。