Ellenberger C
Arch Neurol. 1976 Oct;33(10):671-4. doi: 10.1001/archneur.1976.00500100005004.
Three patients had a syndrome of progressive or long-standing visual loss, pale disk edema, and optociliary veins, indicating that a spheno-orbital meningioma had invaded the anterior perioptic meninges. To diagnose this syndrome, one must distinguish "disk edema" from "papilledema"; although both result from increased pressure within the perioptic subarachnoid space, disk edema is caused by a variety of lesions just behind the globe, whereas papilledema is caused by remote lesions that raise intracranial pressure. Optociliary veins reflect the slowness of progression of both processes. This ophthalmoscopic diagnosis carries important implications, namely, that the tumor grows very slowly and that surgical treatment will not improve vision. Therefore, excision may not be the treatment of choice.
三名患者出现进行性或长期视力丧失、视盘苍白性水肿和视网膜睫状静脉综合征，提示蝶骨嵴脑膜瘤侵犯了视神经周围的前部脑膜。要诊断该综合征，必须区分“视盘水肿”和“视乳头水肿”；尽管两者均由视神经周围蛛网膜下腔压力升高引起，但视盘水肿是由眼球后方的各种病变所致，而视乳头水肿是由导致颅内压升高的远处病变引起。视网膜睫状静脉反映了这两种病变进展的缓慢程度。这种眼底镜诊断具有重要意义，即肿瘤生长非常缓慢，手术治疗不会改善视力。因此，切除可能并非首选治疗方法。
