Anderson D, Khalil M
Ophthalmology. 1981 Oct;88(10):1004-9. doi: 10.1016/s0161-6420(81)80028-0.
We reviewed the charts of all patients with pathologically proven meningiomas who were admitted to the Montreal General Hospital between 1960 and 1977. Of the 80 patients reviewed, we found approximately one third of them had ophthalmological symptoms of which visual loss, field defect, and diplopia were the most common. Most of these patients also had neurological symptoms, but they were often nonspecific. One half of the patients presented with chronic symptomatology such as headache, mental change, and visual loss. One third of the patients presented acutely with seizures, hemiplegia, or dysphasia. Of the investigations done, the angiogram and brain scan were most often diagnostic, while the skull x-ray and EEG were often normal. Meningioma of the sphenoidal ridge, parasellar area, and occiput most often produced visual deficits. In almost one half of these patients, the visual deficit was initially misdiagnosed.
我们回顾了1960年至1977年间入住蒙特利尔总医院且经病理证实为脑膜瘤的所有患者的病历。在回顾的80例患者中，我们发现约三分之一的患者有眼科症状，其中视力丧失、视野缺损和复视最为常见。这些患者大多数也有神经症状，但往往不具特异性。一半的患者表现为慢性症状，如头痛、精神改变和视力丧失。三分之一的患者急性发作，表现为癫痫、偏瘫或言语困难。在已进行的检查中，血管造影和脑部扫描最常具有诊断价值，而颅骨X光片和脑电图往往正常。蝶骨嵴、鞍旁区域和枕部的脑膜瘤最常导致视力缺陷。在这些患者中，几乎一半的视力缺陷最初被误诊。
