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患男,28岁.2月前发现左眼视力差.后逐渐加重,同时右眼视力亦较前差.眼科检查:视力:OD0.6,OS眼前指数,眼底未见异常.视觉电生理检查:视野图示右颞侧偏盲,左视力差不能引出,颅底平片蝶鞍骨质结构完整,CT 检查鞍区占位变(垂体瘤).行左额开颅,术中见视神经色白、扁、宽,左侧为重.视交叉后下有约2.5cm×2.5cm 球形肿物,灰白色,结节状,边界清楚,不活动,质地较韧,血供丰富.完整摘除肿瘤,术后病检为脑膜瘤.2d 后视力明显改善,一周后视力:OD1.0,0S1.5,头部伤口痊愈出院。
Suffering from male, aged 28. 2 months ago found that poor visual acuity in the left eye and then gradually increased, while the right eye also worse than before .Ophthalmology: visual acuity: OD0.6, OS anterior index, fundus no abnormalities. : Visual field diagram of the right temporal hemianopsia, left vision can not lead to poor, skull base plain sebaceous bone structure integrity, CT examination of the saddle area change (pituitary tumor.) Left cranial craniotomy, see the optic nerve intraoperative color, Flat, wide, left for the weight.After the optic chiasm about 2.5cm × 2.5cm spherical tumor, gray, nodular, clear boundary, inactive, tough texture, rich in blood supply.A complete removal of the tumor, postoperative Disease examination for meningioma after 2d significantly improved visual acuity, visual acuity one week later: OD1.0,0S1.5, the head wound cured and discharged.