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  1. C100 医学部/医学系研究科
  2. C100b 紀要
  3. Nagoya journal of medical science
  4. 74(1-2)

POSTOPERATIVE RECOVERY FROM UNILATERAL BLINDNESS CAUSED BY TUBERCULUM SELLAE MENINGIOMA

https://doi.org/10.18999/nagjms.74.1-2.181
https://doi.org/10.18999/nagjms.74.1-2.181
383c12de-3673-435c-8983-748e4b802424
名前 / ファイル ライセンス アクション
19_Oyama.pdf 19_Oyama.pdf (18.7 MB)
Item type 紀要論文 / Departmental Bulletin Paper(1)
公開日 2012-03-01
タイトル
タイトル POSTOPERATIVE RECOVERY FROM UNILATERAL BLINDNESS CAUSED BY TUBERCULUM SELLAE MENINGIOMA
著者 OYAMA, HIROFUMI

× OYAMA, HIROFUMI

WEKO 43973

OYAMA, HIROFUMI

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KITO, AKIRA

× KITO, AKIRA

WEKO 43974

KITO, AKIRA

Search repository
MAKI, HIDEKI

× MAKI, HIDEKI

WEKO 43975

MAKI, HIDEKI

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HATTORI, KENICHI

× HATTORI, KENICHI

WEKO 43976

HATTORI, KENICHI

Search repository
NODA, TOMOYUKI

× NODA, TOMOYUKI

WEKO 43977

NODA, TOMOYUKI

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WADA, KENTARO

× WADA, KENTARO

WEKO 43978

WADA, KENTARO

Search repository
キーワード
主題Scheme Other
主題 Postoperatine recovery
キーワード
主題Scheme Other
主題 Blindness
キーワード
主題Scheme Other
主題 Tuberculum sella
キーワード
主題Scheme Other
主題 Meningioma
キーワード
主題Scheme Other
主題 Visual evoked potential
抄録
内容記述 A 47-year-old female had noticed diminished visual acuity in both eyes 2 months previously. The patient had vision loss (no light perception) in her right eye on admission. Her left visual acuity was 1.2 (naked vision) and an upper temporal quadrant hemianopsia was revealed in her left eye. Optic disc atrophy was also found bilaterally during a fundus examination. The tumor was located at the tuberculum sella. The first operation was performed using a right pterional approach. The right optic nerve was thin and atrophic and was severely encased by the tumor. Considering the deterioration of her visual evoked potential, the operation was terminated in the remaining major part of the tumor. Postoperatively, the patient suffered visual loss in her right eye (no light perception), decreased visual acuity (naked: 0.6 (corrected: 1.0)), and deteriorated visual field defects (upper temporal quadrant hemianopsia) in her left eye. The tumor remnant was resected again 2 weeks later using the right frontobasal and pterional approaches. The tumor around the bilateral internal carotid arteries and optic nerves was not resected. Light perception in the right eye appeared 2 weeks after the operation. Although an opthalmological examination revealed right optic atrophy, finger counting was possible in the upper nasal visual field of the right eye three months after the second operation. Her visual acuity was 0.7 (1.0), and the upper temporal quadrant hemianopia of the left eye improved in comparison with the preoperative one. Our case demonstrated the possibility of a recovery from blindness.
内容記述タイプ Abstract
出版者
出版者 Nagoya University School of Medicine
言語
言語 eng
資源タイプ
資源 http://purl.org/coar/resource_type/c_6501
タイプ departmental bulletin paper
ID登録
ID登録 10.18999/nagjms.74.1-2.181
ID登録タイプ JaLC
ISSN(print)
収録物識別子タイプ ISSN
収録物識別子 0027-7622
書誌情報 Nagoya Journal of Medical Science

巻 74, 号 1-2, p. 181-187, 発行日 2012-02
著者版フラグ
値 publisher
URI
識別子 http://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/7412/7412.html
識別子タイプ URI
URI
識別子 http://hdl.handle.net/2237/16036
識別子タイプ HDL
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