单独的外骨髓性血细胞瘤的复发,影响了两个视神经:一个病例报告
Pablo Ballester Dolz1,2, Dimitrios Gkretsis1, Marita Andersson Grönlund3,4
1Department of Ophthalmology, Örebro University Hospital, Sweden.
American journal of ophthalmology case reports
|October 15, 2025
概括
一种罕见的单独外骨髓性血细胞瘤复发影响了两个视神经,导致视力丧失. 这一案例凸显了眼科评估对血细胞瘤患者经历视力变化的重要性.
科学领域:
- 神经学 神经学
- 眼科医生 眼科 眼科
- 在瘤学瘤学.
背景情况:
- 单独的外骨髓性血细胞瘤是一种罕见的血细胞瘤.
- 一名73岁的男子有脊髓血细胞瘤病史,出现视力损失.
- 患者之前曾经接受过手术和放射治疗,以治疗他的病情.
研究的目的:
- 报告一个不寻常的血细胞瘤复发病例.
- 用于描述双边视神经因血细胞瘤而受到影响.
- 强调在这种情况下需要进行彻底的评估.
主要方法:
- 一个73岁的男性患者的病例报告.
- 眼科检查,包括视力敏度和眼底镜检查.
- 大脑和轨道的磁共振成像 (MRI).
主要成果:
- 患者表现为双眼视力敏度下降.
- 眼科检查显示左视神经胀.
- 核磁共振扫描显示,视神经和其他中枢神经系统 (CNS) 区域的增强.
结论:
- 血瘤复发可能发生在异常位置,如视神经.
- 双边视神经参与意味着潜在的中枢神经系统进展.
- 对于有视力投诉的血细胞瘤患者来说,迅速的眼科评估至关重要,以排除进展或复发.
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