Woiciechowsky C, Vogel S, Meyer R, Lehmann R
Department of Neurosurgery, Medical School (Charité), Humboldt University, Berlin, Germany.
J Neurosurg. 1995 Nov;83(5):923-5. doi: 10.3171/jns.1995.83.5.0923.
Malignant optic glioma causing blindness was difficult to diagnose prior to the introduction of computerized tomography (CT) and magnetic resonance (MR) imaging, because earlier neuroradiological procedures often gave negative results and the clinical symptoms for this entity are not specific. In such cases only a craniotomy or postmortem examination revealed the tumor. The authors found no precise description in the literature of a malignant optic glioma diagnosed with modern imaging methods. They present a patient in whom biopsy results confirmed the CT and MR findings of glioblastoma multiforme of the optic chiasm.
在计算机断层扫描(CT)和磁共振成像(MR)出现之前,导致失明的恶性视神经胶质瘤很难诊断,因为早期的神经放射学检查结果往往为阴性,而且该疾病的临床症状并不具有特异性。在这种情况下,只有通过开颅手术或尸检才能发现肿瘤。作者在文献中未找到用现代成像方法诊断恶性视神经胶质瘤的精确描述。他们报告了一名患者,其活检结果证实了CT和MR显示的视交叉多形性胶质母细胞瘤的表现。