40例颅内脑膜瘤的视野分析  

Analysis of visual field changes in 40 cases of patients with intracranial meningioma

作　　者：须倩[1] 蔡季平[1] 魏锐利[1] 

机构地区：[1]上海长征医院眼科,上海200003

出　　处：《中国实用眼科杂志》2004年第5期342-344,共3页Chinese Journal of Practical Ophthalmology

摘　　要：目的　了解不同部位脑膜瘤所导致的视野改变 ,给临床提供参考资料。方法　对 40例 ( 80眼 )不同部位的脑膜瘤进行双眼视野检查 (OCTOPUS -10 1)及回顾性分析。结果　 40例脑膜瘤视野主要改变 :鞍结节脑膜瘤 12例 ( 3 0 % )为双眼颞侧偏盲 ;顶叶脑膜瘤 9例 ( 2 2 5 % )为双眼同侧偏盲 ;额叶脑膜瘤 7例 ( 17 5 % )为双眼对称性同向偏盲 ;枕叶脑膜瘤 4例 ( 10 % )为双眼同侧偏盲累及对侧下方象限 ;颞叶脑膜瘤 4例 ( 10 % )为双眼同向上象限盲 ;蝶骨嵴脑膜瘤 2例 ( 5 % )为颞侧视野缩小 ;嗅沟脑膜瘤 1例 ( 2 5 % )为中心暗点 ;桥脑小脑角脑膜瘤 1例 ( 2 5 % )视野正常。结论　脑膜瘤生长部位、大小不同 。Objective To analyze the changes of visual field in patients with intracranial meningioma in different locations and to provide clinical information for diagnosis and treatment of meningioma.Methods Visual field examinations were taken in 40 cases(80 eyes)of intracranial meningioma and the results were analized retrospectively.Results Among the 40 cases(80 eyes) intracranial meningioma,12 cases(30%) were tuberculum sellae meningiomas mostly with bitemporal hemianopsia,9 cases(22 5%) were parietal lobe meningiomas with homonymous hemianopsia visual field loss of both eyes,7 cases(17 5%) were frontal lobe meningiomas with bisymmetry hemianopsia,4 cases(10%) were occipital lobe meningiomas with omonymous hemianopsia and contralateral inferior visual field loss,4 cases(10%) were temporal lobe meningiomas with superior hemianopia visual field loss of both eyes,2 cases(5%) were sphenoid ridge meningiomas with constriction of temporal visual field,and 1 case(2 5%)was olfactory sulcus meningioma with monocular central scotoma.Conclusions The differences of visual field defects were associated with the intracranial meningioma based on the locations、sizes and their relationships with the visual pathway.

关 键 词：颅内脑膜瘤 视野 视交叉 视放射 回顾性分析 双眼视野检查 

分 类 号：R739.41[医药卫生—肿瘤]