METHODS: A 75-year-old-woman presented with progressive vision loss and proptosis. Magnetic resonance imaging was consistent with a large, left-sided sphenoid wing meningioma with extension to the orbital wall and compression of the optic nerve medially. The patient elected to undergo surgical excision and optic nerve decompression. She did well postoperatively with resolution of proptosis and good resection margins on follow-up imaging.
CONCLUSIONS: Aggressive resection of SOMs is possible with an understanding of the underlying anatomy. Familiarity with the orbit can facilitate a maximal safe resection with optic nerve decompression.
方法:一名75岁女性出现进行性视力丧失和眼球突出。磁共振成像与大,左侧蝶骨翼脑膜瘤,延伸到眶壁,内侧视神经受压。患者选择接受手术切除和视神经减压术。她术后表现良好,眼球突出消退,随访影像学切除边缘良好。
结论:在了解潜在解剖结构的情况下,可以积极切除SOM。熟悉眼眶可以促进视神经减压术的最大安全切除。