关键词: removal scotoma tuberculum sellae meningioma visual disturbance

来  源:   DOI:10.2176/jns-nmc.2023-0234   PDF(Pubmed)

Abstract:
Tuberculum sellae meningiomas commonly present as bitemporal hemianopia and loss of visual acuity due to optic nerve compression. Two female patients (48 and 58 years old) presented with a small scotoma at the lower visual field center due to tuberculum sellae meningioma (25 and 10 mm, respectively). Despite the fact that their visual field defect was not very large, daily activities, including walking or reading were hindered. By the total removal of the tumors in both patients, the scotoma was cured and daily activities recovered. When patients exhibit visual deficits, especially in the lower center fields, surgical removal should be considered even if the tumors are small and visual deficits are limited because improvement of both vision and daily activities can be achieved.
摘要:
鞍结节脑膜瘤通常表现为双颞侧偏视,视神经压迫导致视力丧失。两名女性患者(48岁和58岁)由于鞍结节脑膜瘤(25和10毫米,分别)。尽管他们的视野缺陷不是很大,日常活动,包括走路或阅读受到阻碍。通过完全切除两名患者的肿瘤,暗点被治愈,日常活动恢复。当患者表现出视觉缺陷时,尤其是在较低的中心领域,即使肿瘤很小且视力缺陷有限,也应考虑手术切除,因为可以改善视力和日常活动。
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