Trobe J D, Glaser J S, Post J D, Page L K
Neurosurgery. 1978 Jul-Aug;3(1):68-74. doi: 10.1227/00006123-197807000-00012.
In the case presented, bilateral optic canal meningiomas produced binocular visual loss. Correct diagnosis was delayed because of inadequate and misinterpreted radiological studies. Careful radiological and surgical examination of the planum sphenoidale later suggested this as the source of both canalicular masses. The pertinent aspects of this case are reviewed in relation to information from similar cases reported previously. In the future, increased clinical suspicion and more accurate neuroradiological studies should improve the detection and afford earlier surgical treatment of meningiomas of the optic canal.
在该病例中,双侧视神经管脑膜瘤导致双眼视力丧失。由于影像学检查不充分且解读错误,正确诊断被延误。随后对蝶骨平台进行仔细的影像学和手术检查,提示此处为两个视神经管肿物的来源。结合此前报道的类似病例信息,对该病例的相关方面进行了回顾。未来,提高临床怀疑度以及进行更准确的神经影像学检查,应能改善视神经管脑膜瘤的检测并实现早期手术治疗。