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NR 4-6/2006
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Obustronny oponiak
osłonek nerwu wzrokowego (ONSM) – problemy diagnostyczne i
lecznicze
Bilateral Optic Nerve Sheath
Meningioma (ONSM) – diagnostic and therapeutic problems
Barbara Chipczyńska, Mirosława Grałek,
Agnieszka Trzebicka, Wojciech Hautz, Krystyna Kanigowska, Dorota
Klimczak-Ślączka
Z Kliniki Okulistyki Instytutu Pomnik – Centrum Zdrowia Dziecka
w Warszawie Kierownik: prof. dr hab. n. med. Mirosława Grałek |
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| Summary: |
The authors describe the
case of bilateral optic nerve sheath meningioma /ONSM/
in 14 years old girl. When being hospitalized at the
Neurology Clinic with paresis n.VII, the patient was
examined by ophthalmologist. The diagnosis was made on
the basis of clinical and characteristic changes
revealed by USG, CT and MRI. The very first
ophthalmologic examination confirmed a visual acuity 5/5
OD and hand movements OS, associated with papilloedema
OD and edematous optic atrophy OS. The use of USG, CT
and MRI revealed bilateral tubular thickening of the
optic nerves (8mm), with calcification. After the period
of one year, clinical progression was observed. The
intracranial tumor extended. It was shown in diagnostic
imaging. The patient was operated on by neurosurgeons
with histopathology verification. In the later stage she
underwent radiotherapy.
The case has been described because of its diagnostic
and therapeutic difficulties. |
| Słowa kluczowe: |
oponiak osłonek nerwu
wzrokowego, dzieci, objawy kliniczne, diagnostyka
obrazowa, leczenie. |
| Key words: |
optic nerve sheath
meningioma, children, clinical findings, diagnostic
imaging, treatment. |
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