蝶骨嵴脑膜瘤的眼部改变及其预后

为探讨确定蝶骨嵴脑膜瘤的眼部改变特征、术前定位诊断及视功能的保护 ,对天坛医院 1 995年 1月至2 0 0 1年 6月共 45例资料完整、经手术证实的蝶骨嵴脑膜瘤进行回顾性分析。其中 3 9例 (占 87% )出现眼征 ,前床突型脑膜瘤全部有眼部改变 ,而且大部分以首发症状出现。结果提示 :头痛伴有单侧视力减退及视神经萎缩、单侧眼球突出合并眼睑水肿、单侧视野缺损、多条眼外肌麻痹等症状 ,应考虑到蝶骨嵴脑膜病的可能。早期诊断及治疗 ,有助于视功能的恢复 ,术后进行眼科治疗是必要的。

Ophthalmological Findings and Prognosis in Patients with Sphenoid Ridge Meningioma

The aim was to discuss and define the detection of eye signs, diagnose of fixed position before operation and the protection of visual function in patients with sphenoid ridge meningiomas. To make a retrospective analysis, 45 operation-confirmed cases of sphenoid ridge meningiomas were involved from January 1995 to June 2001. Eye signs were shown in 39(87%) cases, and in all of the meningioma of anterior clinoid process, most of them were shown in the form of first symptom. It indicated that if the patient has these symptoms, the probability of this disease should be considered: headache along with a single eye hypopsia and optic atrophy, a single exophthalmos with blepharedema, a single defect of visual field, many extraocular paralysis, and so on. An early diagnosis or treatment is helpful for the recovery of visual function. Taking a postoperative ophthalmological is necessary.