A clinical study of optic nerve glioma.docVIP

 PAGE \* MERGEFORMAT 14 A clinical study of optic nerve glioma A clinical The natural course of cancer varied, making evaluation of treatment effect is very difficult, and some scholars based on preoperative clinical presentation and imaging features will be divided into three categories [1 ~ 3] (1) the optic nerve type, (2) diffuse, as cross-type, (3) chiasm - hypothalamus exogenous type, used to guide surgical treatment, and found that the latter two of morbidity and mortality were higher than the former. Intraorbital optic nerve type showed thickening of the spindle-shaped tumor may be through the optic foramen to the intracranial segment of optic nerve growth, but there is no violation of the optic chiasm, bilateral lesions were occasionally seen in neurofibromatosis. The clinical manifestations are: vision loss, proptosis, optic disc edema or atrophy, other issues such as strabismus, eye movement disorders, skin often found in brown pigment spots. A general visual impairment, earlier in the post-axial exophthalmos. But patients with multiple children, the chief complaint is not clear, vision loss can not be found in time by their parents, to be marked exophthalmos after accidentally discovered by a parent or someone else. In infants and young children make more use of nystagmus, strabismus as the first symptom. Fundus examination showed optic disc vein expansion and optic nerve edema, the course is longer visible optic nerve atrophy. Optic chiasm associated with diffuse type Ⅰ neurofibromatosis type most common in children, showing diffuse thickening of the optic chiasm can forward the growth of infringement after the optic nerve or optic tract, manifested as decreased visual acuity and bilateral vision defects, endocrine symptoms and hydrocephalus is a rare, but is often associated with other manifestations of neurofibromatosis, such as skin pigmentation, etc., the patient will be an early treatment, early access to diagnosis. Optic chiasm - hypo