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以视力丧失为主要表现的嗅沟脑膜瘤

Visual Loss As Primary Manifestation of Olfactory Groove Meningioma.

作者信息

Sulaiman Farhana Nabila, Sultan Abdul Kader Mohamed Iliyas, Sawri Rajan Rajasudha, Wan Abdul Halim Wan Haslina

机构信息

Department of Ophthalmology, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, MYS.

Department of Ophthalmology, Hospital Selayang, Batu Caves, MYS.

出版信息

Cureus. 2023 Apr 16;15(4):e37632. doi: 10.7759/cureus.37632. eCollection 2023 Apr.

Abstract

Differential diagnosis of vision loss in a space-occupying lesion can be exhaustive. Olfactory groove meningioma (OGM) is a rare, benign, slow-growing tumour originating from the anterior cranial base. OGM is one of the differential diagnoses of intracranial tumours. We report a case of an OGM compressing the optic nerve and frontal lobe causing bilateral vision loss for six months. Multidisciplinary management by ophthalmologists, neurosurgeons, radiologists, and pathologists led to the diagnosis and tumour resection of OGM in the patient. Possible mechanisms of vision loss, imaging features, and treatment are discussed in this report.

摘要

占位性病变导致视力丧失的鉴别诊断可能非常详尽。嗅沟脑膜瘤(OGM)是一种罕见的、良性的、生长缓慢的肿瘤,起源于前颅底。OGM是颅内肿瘤的鉴别诊断之一。我们报告一例OGM压迫视神经和额叶导致双侧视力丧失6个月的病例。眼科医生、神经外科医生、放射科医生和病理科医生的多学科管理使得该患者得以诊断并切除OGM。本报告讨论了视力丧失的可能机制、影像学特征及治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f47/10186566/7486c5643389/cureus-0015-00000037632-i01.jpg

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