Hashikawa Ryunosuke, Fukuhara Noriaki, Yamaguchi-Okada Mitsuo, Nishioka Hiroshi
Department of Hypothalamic and Pituitary Neurosurgery, Toranomon Hospital, Toranomon, Minato, Japan.
Asian J Neurosurg. 2023 Jun 7;18(2):383-386. doi: 10.1055/s-0043-1768605. eCollection 2023 Jun.
We report a rare case of ipsilateral visual loss caused by compression of the optic nerve between a tuberculum sellae meningioma (TSM) and the internal carotid artery (ICA). The patient was a 70-year-old female who presented with a 2-year history of left visual disturbance with a TSM on magnetic resonance imaging. No tumor infiltration to the optic canal was identified in the preoperative images. Extended endoscopic transsphenoidal surgery was performed and showed no infiltration to the optic canal. The tumor was removed completely, and optic nerve compression was found between the TSM and atherosclerotic ICA. This report shows an atypical case in which compression of the optic nerve between a TSM and the ICA caused ipsilateral visual loss despite no infiltration to the optic canal.
我们报告了一例罕见病例，蝶骨嵴脑膜瘤（TSM）与颈内动脉（ICA）之间对视神经的压迫导致同侧视力丧失。患者为一名70岁女性，磁共振成像显示患有TSM，有2年的左视力障碍病史。术前影像未发现肿瘤侵犯视神经管。实施了扩大经鼻内镜经蝶窦手术，结果显示未侵犯视神经管。肿瘤被完全切除，发现TSM与动脉粥样硬化的ICA之间存在视神经压迫。本报告展示了一个非典型病例，即TSM与ICA之间对视神经的压迫导致同侧视力丧失，尽管未侵犯视神经管。
