■脑膜瘤相当于所有原发性中枢神经系统肿瘤的三分之一。其中大约9%是蝶眶脑膜瘤(SOM),表现出明显的临床症状,如视力障碍和眼眶美学。本文旨在评估在没有眼眶重建的手术系列中眼球突出的改善。
■我们连续纳入所有诊断为SOM的患者,被单一机构录取10年。手术切除是标准护理,与辅助放射治疗相关或无关。放射学检查包括术前和术后的头部CT或MRI。我们通过成像量化了突起。
■40名患者组成了这个系列,87.5%为女性。前突是最常见的表现(90%),其次是视力下降(65%),运动性赤字(20%),头痛(20%)。在65%的手术中实现了总切除。在后期结果中,78%的患者保持或改善视力,85%的患者保持或改善头痛。术后和随访期间,前突显著改善(P<0.001)。10例患者接受辅助放疗,其中6个是次全切除术后的.这个亚组的所有患者都有眼球突出。在接受RT的患者中,观察到视力恶化的频率更高(71%与28%,P=0.038)。
■切除SOM足以阻止视觉缺陷的发展,并可以改善眼球突出。眼眶重建似乎不是减少眼球内陷的必要步骤。
UNASSIGNED: Meningiomas correspond to one-third of all primary central nervous system tumors. Approximately 9% of them are spheno-orbital meningiomas (SOMs), presenting significant clinical symptoms as visual impairment and orbital esthetics. This article aims to evaluate exophthalmos\' improvement in a surgical series without orbital reconstruction.
UNASSIGNED: We consecutively included all patients diagnosed with SOM, admitted to a single institution for 10 years. Surgical resection was the standard of care, associated or not with adjuvant radiation therapy. The radiological investigation included preoperative and postoperative head CT or MRI. We quantified proptosis through imaging.
UNASSIGNED: Forty patients composed this series, 87.5% were female. Proptosis was the most common presentation (90%), followed by decreased visual acuity (65%), motility deficit (20%), and headache (20%). Gross total resection was achieved in 65% of the procedures. In late outcomes, 78% of the patients maintained or improved visual acuity and 85% maintained or improved headache. Proptosis significantly improved after surgery and along with the follow-up (P < 0.001). Ten patients were submitted to adjuvant RT, six of them after a subtotal resection. All patients of this subgroup had proptosis. It was observed a higher frequency of worse in visual acuity in patients submitted to RT (71% vs. 28%, P = 0.038).
UNASSIGNED: Resection of SOM was sufficient to stop the evolution of visual deficit and allowed the improvement of proptosis. Orbital reconstruction does not seem to be an essential step in reducing enophthalmos.