AlQahtani Dhabiah Saeed, Alshamrani Abdulaziz A, AlQawahmed Raniah, Elkhamary Sahar, AlGhadeer Huda
Ophthalmology Department, King Khaled Eye Specialist Hospital, Riyadh, Kingdom of Saudi Arabia.
Pathology Department, Prince Sultan Military Medical City, Riyadh, Kingdom of Saudi Arabia.
Neuroophthalmology. 2021 Aug 25;46(3):182-185. doi: 10.1080/01658107.2021.1958872. eCollection 2022.
We report a case of 51-year-old medically healthy male who presented with gradual painless diminution of vision in both eyes for 3 months. His visual acuity was hand movement perception in the right eye, and no light perception in the left eye. The intraocular pressure, external eye examination, ocular motility and anterior segment examinations were normal. Fundus examination revealed severe bilateral papilloedema and engorged tortuous veins in both eyes. Imaging exhibited a large intracranial tumour causing raised intracranial pressure. This was debulked by neurosurgery and histological examination revealed that the tumour was an olfactory neuroblastoma (ONB). This case is noteworthy since ONBs rarely present with isolated papilloedema without any accompanying ophthalmoplegia, proptosis, epistaxis, nasal, or neurological symptoms.
我们报告一例51岁身体健康的男性,其双眼视力逐渐无痛性下降3个月。右眼视力为手动,左眼无光感。眼压、外眼检查、眼球运动及眼前节检查均正常。眼底检查发现双眼严重视乳头水肿及迂曲扩张的静脉。影像学检查显示一个巨大的颅内肿瘤导致颅内压升高。经神经外科手术切除肿瘤,组织学检查显示该肿瘤为嗅神经母细胞瘤(ONB)。该病例值得注意,因为嗅神经母细胞瘤很少仅表现为孤立的视乳头水肿,而无任何伴随的眼肌麻痹、眼球突出、鼻出血、鼻部或神经症状。