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视神经成血管细胞瘤伴双侧额叶水肿:一例报告

Optic nerve Hemangioblastoma with bilateral frontal lobe Oedema: a case report.

作者信息

Xu Shujia, Li Qian, Bian Bingyang, Zhou Hongli, Li Dan

机构信息

The First Hospital of Jilin University, Changchun, China.

The Second Hospital of Jilin University, Changchun, China.

出版信息

BMC Ophthalmol. 2020 Nov 3;20(1):437. doi: 10.1186/s12886-020-01706-4.

DOI:10.1186/s12886-020-01706-4
PMID:33143685
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7640410/
Abstract

BACKGROUND

Hemangioblastomas are rare benign tumours that are most commonly detected in the subtentorium or spinal cord. Optic nerve hemangioblastoma is very rare and is most commonly associated with Von Hippel-Lindau (VHL) syndrome.

CASE PRESENTATION

Here, we report a case of hemangioblastoma of the optic nerve with bilateral frontal lobe oedema without VHL syndrome, which has not yet been reported. A 51-year-old woman presented with progressive and painless deteriorating vision in the left eye. Magnetic resonance imaging showed a mass at the back of the left orbital optic nerve. Endoscopic-assisted intraorbital tumour resection was performed successfully. The pathological diagnosis was left optic nerve hemangioblastoma.

CONCLUSIONS

This is the first reported case of optic nerve hemangioblastoma (HBL) with bilateral frontal lobe oedema.

摘要

背景

成血管细胞瘤是一种罕见的良性肿瘤,最常见于小脑幕下或脊髓。视神经成血管细胞瘤非常罕见,最常与冯·希佩尔-林道(VHL)综合征相关。

病例报告

在此,我们报告一例无VHL综合征的双侧额叶水肿的视神经成血管细胞瘤病例,此前尚未见报道。一名51岁女性因左眼视力进行性无痛性下降就诊。磁共振成像显示左侧眶内视神经后部有一肿块。成功实施了内镜辅助眶内肿瘤切除术。病理诊断为左侧视神经成血管细胞瘤。

结论

这是首例报道的伴有双侧额叶水肿的视神经成血管细胞瘤(HBL)病例。

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本文引用的文献

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A novel mutation in the VHL gene in a Chinese family with von Hippel-Lindau disease.一个患希佩尔-林道病的中国家族中VHL基因的一种新突变。
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Hemangioblastoma of the optic nerve.视神经血管瘤。
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J Med Case Rep. 2015 Mar 25;9:66. doi: 10.1186/s13256-015-0539-2.
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Hemangioblastoma of the optic nerve producing bilateral optic tract edema in a patient with von Hippel-Lindau disease.1例患有冯·希佩尔-林道病的患者,其视神经血管母细胞瘤导致双侧视束水肿。
Surg Neurol Int. 2014 Mar 6;5:33. doi: 10.4103/2152-7806.128430. eCollection 2014.
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Optic nerve haemangioblastoma mimicking a planum sphenoidale meningioma.酷似蝶骨平台脑膜瘤的视神经成血管细胞瘤。
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von Hippel-Lindau disease.冯·希佩尔-林道病
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