Sloas H A, Starling J, Harper D G, Cupples H P
Arch Ophthalmol. 1981 Jun;99(6):1048-52. doi: 10.1001/archopht.1981.03930011048013.
Reticulum cell sarcoma involving the vitreous and the brainstem occurred in a 45-year-old man. He initially was seen with diplopia from a partial left-sided third cranial nerve palsy, which is rare. Later, a typical uveitis developed in the right eye. An initial diagnosis of brainstem glioma, based primarily on the computed tomographic scan findings and clinical history, was ultimately proved erroneous when the correct diagnosis was shown by the results of a cytologic examination of vitreous aspirate. Excellent visual response to a moderately high oral dose of steroids occurred, which has not been usual in other reported cases. Definitive cobalt (gamma) radiation therapy (6,000 rad to the brainstem and 4,000 rad to the vitreous) has produced a one-year remission at this time.
一名45岁男性发生了累及玻璃体和脑干的网状细胞肉瘤。他最初因左侧部分动眼神经麻痹出现复视而就诊，这种情况较为罕见。后来，右眼出现了典型的葡萄膜炎。最初主要基于计算机断层扫描结果和临床病史诊断为脑干胶质瘤，但玻璃体抽吸物的细胞学检查结果显示正确诊断后，最终证明该诊断是错误的。患者对中等高剂量口服类固醇有良好的视觉反应，这在其他报道的病例中并不常见。目前，明确的钴（γ）放射治疗（脑干6000拉德，玻璃体4000拉德）已产生了一年的缓解期。
