UZHHOROD NATIONAL UNIVERSITY, UZHHOROD, UKRAINE.
Wiad Lek. 2022;75(9 pt 2):2299-2303. doi: 10.36740/WLek202209221.
The authors present a 3-year-old female with increasing proptosis and absent vision in the right eye. Chemotherapy had done for 3months. But her ailments lingered. The right eye exhibited severe proptosis and poor vision, whereas the left eye was normal with 20/20 vision. Preoperative MRI revealed a dumbbell-shaped tumor in the intra-orbital and intra-cranial section of the right optic nerve. A lateral supra-orbital approach was used to dissect the dumbbell-shaped tumor and the right optic nerve. No remnant of the tumor was discovered during a follow-up examination. The case study demonstrates how to identify and treat ONA surgically. However, we need further research on optic nerve PA to gain a better understanding of their behavior. While gross total resection (GTR) is usually curative, tumors in deep locations may be unresectable and require alternative therapeutic procedures. Additionally, the case study emphasizes the importance of additional research on early detection and prevention.
作者报告了一例 3 岁女性,右眼进行性眼球突出伴视力丧失。已行 3 个月化疗,但病情持续存在。右眼严重眼球突出伴视力差,左眼正常,视力 20/20。术前 MRI 显示右侧视神经眶内和颅内段哑铃形肿瘤。采用外侧眶上入路解剖哑铃形肿瘤和右侧视神经。随访检查未发现肿瘤残留。该病例研究展示了如何通过手术识别和治疗 ONA。然而,我们需要进一步研究视神经 PA,以更好地了解它们的行为。虽然大体全切除(GTR)通常是治愈性的,但位于深部的肿瘤可能无法切除,需要替代治疗方法。此外,该病例研究强调了进一步研究早期发现和预防的重要性。