Yüceer N, Erdogan A, Ziya H
Department of Neurosurgery, Faculty of Medicine, University of Ankara, tbn-i Sina Hastanesi, Turkey.
J Neurosurg Sci. 1994 Sep;38(3):155-9.
Between 1985 and 1993, we treated seven cases of optic nerve sheath meningiomas. The median age at onset of their symptoms was 42.14 years. All of the patients were aged between 27 and 60 females with a slowly progressive lesion. Computed tomography and/or magnetic resonance imaging were used as diagnostic procedure in our cases. We operated on using microsurgical techniques in all of these cases. Vision was preserved in the three of our cases. The definitive treatment for these lesions is surgical resection, although no single best plan for optimal management has been determined. The data indicate that only small anterior tumors may be removed with preservation of useful vision. With posterior circumferential tumors, there have been no cases of tumor removal with preservation of vision. A management strategy directed toward preservation of vision is discussed.
1985年至1993年间，我们治疗了7例视神经鞘膜瘤。患者症状出现时的中位年龄为42.14岁。所有患者均为27至60岁的女性，病变进展缓慢。在我们的病例中，计算机断层扫描和/或磁共振成像被用作诊断方法。所有这些病例我们都采用显微外科技术进行手术。我们的3例患者视力得以保留。这些病变的确定性治疗方法是手术切除，尽管尚未确定最佳治疗的单一最佳方案。数据表明，只有小的前部肿瘤在保留有用视力的情况下可以切除。对于后部环形肿瘤，尚无保留视力切除肿瘤的病例。本文讨论了旨在保留视力的治疗策略。
