Dabbs C B, Kline L B
Eye Foundation Hospital, Department of Ophthalmology, University of Alabama School of Medicine, Birmingham, USA.
Surv Ophthalmol. 1997 Nov-Dec;42(3):247-54. doi: 10.1016/s0039-6257(97)00094-5.
For 11 years, a 50-year-old woman with euthyroid Graves' disease experienced intermittent exacerbations of her orbitopathy associated with a decline in visual acuity. On each occasion, treatment with systemic corticosteroids led to prompt recovery of vision. Upon referral for consideration for orbital decompressive surgery, computed tomography and magnetic resonance imaging scanning detected bilateral optic-nerve sheath meningiomas, as well as typical findings of Graves' disease. Orbital radiation therapy led to stabilization of visual function and orbital findings, eliminating the need for systemic steroids. To our knowledge, this is the first reported case of Graves' disease associated with bilateral optic nerve sheath meningiomas.
11年来，一名患有甲状腺功能正常的格雷夫斯病的50岁女性经历了眼眶病的间歇性加重，并伴有视力下降。每次发作时，全身使用皮质类固醇治疗可使视力迅速恢复。在转诊考虑进行眼眶减压手术时，计算机断层扫描和磁共振成像扫描发现双侧视神经鞘脑膜瘤以及格雷夫斯病的典型表现。眼眶放射治疗使视觉功能和眼眶表现得以稳定，不再需要全身使用类固醇。据我们所知，这是首例报告的格雷夫斯病合并双侧视神经鞘脑膜瘤的病例。
