Verheggen R, Markakis E, Mühlendyck H, Finkenstaedt M
Clinic of Neurosurgery, University of Göttingen, Federal Republic of Germany.
Acta Neurochir Suppl. 1996;65:95-8. doi: 10.1007/978-3-7091-9450-8_26.
A series of 7 patients with optic sheath meningiomas, 3 intracanalicular and intraorbital, 2 intraosseus meningiomas of the sphenoid wing involving the optic canal, and 4 sphenoorbital meningiomas were reported. The choice of a surgical approach to the orbit was appropriate to the location and size of the tumour relative to the optic nerve. The most common complaints were proptosis, reduction of visual acuity and paresis of eye muscles. Patients with optic sheath meningiomas are threatened postoperatively by visual loss whereas the high recurrence rate has to be taken into consideration in cases of sphenoorbital meningiomas.
报告了7例视神经鞘脑膜瘤患者，其中3例为管内及眶内型，2例为累及视神经管的蝶骨翼骨内脑膜瘤，4例为蝶眶脑膜瘤。针对眼眶的手术入路选择取决于肿瘤相对于视神经的位置和大小。最常见的症状是眼球突出、视力下降和眼肌麻痹。视神经鞘脑膜瘤患者术后有视力丧失的风险，而蝶眶脑膜瘤患者则必须考虑高复发率。
