Total recovery of optic nerve sheath meningioma

Pierre Charpentier1, Frederic Mouriaux2

  • 1Centre Hospitalier Universitaire de Rennes, ille et Vilaine, Rennes, Catalunya, Girona, Spain.

BMJ Case Reports
|October 23, 2016
PubMed

Insights

A 43-year-old woman experienced rapid vision loss due to optic nerve sheath meningioma. Intensity-modulated radiotherapy led to complete visual recovery with no late side effects.

Area of Science:

  • Ophthalmology
  • Neurology
  • Radiation Oncology

Background:

  • Optic nerve sheath meningiomas (ONSMs) are rare tumors that can cause progressive visual loss.
  • Early diagnosis and appropriate treatment are crucial for preserving vision.

Observation:

  • A 43-year-old female presented with rapidly worsening vision.
  • Clinical and radiological findings confirmed a primary optic nerve sheath meningioma.

Findings:

  • The patient received intensity-modulated radiotherapy (IMRT) with a total dose of 50.4 Gy in 28 fractions.
  • After a 2-year follow-up, complete recovery of visual acuity and visual field was observed.

Implications:

  • IMRT is an effective treatment for optic nerve sheath meningioma, leading to significant visual recovery.
  • This case highlights the potential for successful visual rehabilitation in patients with ONSM treated with radiotherapy, with no observed late adverse effects.

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