Lee K F, Whiteley W H, Schatz N J, Edeiken J, Lin S R, Tsai F Y
J Neurosurg. 1976 May;44(5):571-9. doi: 10.3171/jns.1976.44.5.0571.
Seven patients are described who had juxtasellar hyperostosis with visual disturbance secondary to non-meningiomatous lesions. Two had chromophobe adenomas, one craniopharyngioma, one carcinoma of the sphenoid sinus, one a thrombosed aneurysm of the intracavernous portion of the internal carotid artery, one epidermoidoma of the orbit, and one chondroblastoma of the anterior clinoid process. The diagnosis of meningioma was entertained initially on the basis of hyperostosis plus visual impairment. Careful evaluation of hyperostosis is essential for correct diagnosis of meningioma, according to our experience. Suprasellar meningiomas almost invariably produce irregular hyperostosis of the planum sphenoidale, often associated with serration and blistering. Sphenoid meningioma, when it is sclerotic, always shows thickening or expansion of the sphenoid wings. Therefore, in the absence of typical meningiomatous hyperostosis, one can readily differentiate non-meningiomatous hyperostosis from true meningioma.
本文描述了7例患有鞍旁骨质增生并伴有非脑膜瘤性病变继发视力障碍的患者。其中2例为嫌色性腺瘤，1例为颅咽管瘤，1例为蝶窦癌，1例为颈内动脉海绵窦段血栓性动脉瘤，1例为眼眶表皮样囊肿，1例为前床突软骨母细胞瘤。最初根据骨质增生加视力损害考虑为脑膜瘤。根据我们的经验，仔细评估骨质增生对于正确诊断脑膜瘤至关重要。鞍上脑膜瘤几乎总是导致蝶骨平台不规则骨质增生，常伴有锯齿状和水疱样改变。蝶骨脑膜瘤硬化时，总是表现为蝶骨翼增厚或扩大。因此，在没有典型脑膜瘤性骨质增生的情况下，很容易将非脑膜瘤性骨质增生与真正的脑膜瘤区分开来。
