Serova N K
Vestn Oftalmol. 1993 Oct-Dec;109(5):24-6.
The author analyzes the time course of neuro-ophthalmologic symptoms in patients with craniopharyngiomas in the immediate and late periods after tumor removal by microsurgical techniques. The early stage of visual disturbances was found the most favorable as regarded vision recovery. In patients with later stages of visual disturbances vision recovery is possible and more likely in the late period after surgery. Conservative therapy is advisable in the postoperative period, transcutaneous electrostimulation of optic nerves may be recommended as well. Repeated interventions for progressive tumor growth may not only prevent further deterioration of vision, but may even contribute to its improvement.
作者分析了经显微外科技术切除颅咽管瘤的患者在肿瘤切除后即刻和晚期神经眼科症状的时间进程。发现视觉障碍的早期阶段在视力恢复方面最为有利。对于视觉障碍后期的患者,术后晚期视力有可能恢复且更有可能恢复。术后采用保守治疗为宜,也可推荐经皮视神经电刺激。对于肿瘤进行性生长的反复干预不仅可以防止视力进一步恶化,甚至可能有助于视力改善。