Delayed neurological deficit following resection of tuberculum sellae meningioma: report of two cases, one with permanent and one with reversible visual impairment.
Delayed neurological deficit following resection of tuberculum sellae meningioma: report of two cases, one with permanent and one with reversible visual impairment.
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鞍结节脑膜瘤切除术后迟发性神经功能缺损：两例报告，一例为永久性视力障碍，另一例为可逆性视力障碍。
DOI：
10.1007/s00701-014-2046-4
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发表时间：
2014
影响因子：
2.4
通讯作者：
McDermott,MW
中科院分区：
文献类型：
--
作者：
Santarius,T;Jian,BJ;Englot,D;McDermott,MW
鞍结节脑膜瘤患者最常见的表现是视力下降，手术切除是主要的治疗方式。保护视力不仅是手术的主要目的;视力丧失也是其主要风险。手术后的视力恶化通常在手术后立即明显。在这里，我们提出了两例接受鞍结节脑膜瘤切除术的患者，他们的视力在手术后最初没有变化，直到术后第二天发生了戏剧性的视力恶化。在第一种情况下，这导致失明，而在第二种情况下，视力恢复到术前状态。视力下降的可能机制和治疗模式进行了讨论。
The most common presentation of patients with tuberculum sellae meningiomas is visual loss, and surgical resection is the main mode of treatment. Preservation of vision is not only the main objective of the surgery; loss of vision is also its main risk. Visual deterioration following surgery is usually apparent immediately post-operatively. Here we present two cases of patients who underwent resection of tuberculum sellae meningioma and whose vision following surgery was initially unchanged until the postoperative day two when dramatic visual deterioration occurred. In the first case this resulted in blindness, whereas in the second case vision recovered back to the preoperative state. The possible mechanisms of visual deterioration and modes of treatment are discussed.