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[Primary optic nerve meningioma].

A Huber

    Klinische Monatsblatter Fur Augenheilkunde
    |April 1, 1984
    PubMed
    Summary
    This summary is machine-generated.

    Primary optic nerve meningioma presents with vision loss, optic atrophy, and optociliary shunts. Diagnosis is confirmed via contrast-enhanced CT scans, guiding treatment decisions between surgery and radiation therapy.

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    Area of Science:

    • Ophthalmology
    • Neurology
    • Neurosurgery

    Background:

    • Primary optic nerve meningioma is a rare tumor affecting vision.
    • The diagnostic triad includes progressive vision loss, optic atrophy, and optociliary shunts (Hoyt-Spencer sign).
    • Initial symptoms may mimic retrobulbar neuritis, delaying diagnosis.

    Purpose of the Study:

    • To outline the diagnostic criteria for primary optic nerve meningioma.
    • To discuss the role of imaging in diagnosis.
    • To explore treatment options, comparing surgery and radiation therapy.

    Main Methods:

    • Review of clinical presentation and diagnostic findings.
    • Emphasis on computer tomography with contrast enhancement and coronal sections for diagnosis.

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  • Discussion of surgical (orbitotomy, craniotomy) versus conservative radiation therapy.

    • Main Results:

    • The diagnostic triad is pathognomonic for optic nerve meningioma.
    • Computer tomography is crucial for accurate diagnosis.
    • Treatment choice between surgery and radiation requires careful consideration.

    Conclusions:

    • Early and accurate diagnosis of optic nerve meningioma is vital.
    • Advanced imaging techniques like CT are essential.
    • The optimal treatment strategy remains a subject of discussion.