Document Detail


Preoperative radiological evaluation and surgical strategy for the preservation of visual acuity in patients with skull base meningiomas--two case reports.
MedLine Citation:
PMID:  21913378     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
Two women aged 48 and 73 years, respectively, presented with unilateral visual disturbance. On admission, magnetic resonance imaging (MRI) showed an extraaxial mass in the parasellar region. Contrast-enhanced fast imaging with steady-state acquisition (CE-FIESTA) showed that the optic nerves were compressed and encased by the tumors. At an early stage of surgery, we performed decompression of the optic nerves to avoid optic nerve injury. Both the patients were relieved of visual disturbances without any postoperative neurological deficit. In conclusion, CE-FIESTA is a useful diagnostic tool for preoperative evaluation of the optic nerves in patients with skull base meningiomas. Decompression of the optic nerves should be performed at an early stage of surgery in meningioma patients presenting with visual disturbance.
Authors:
Junkoh Yamvamoto; Mayu Takahashi; Yoshiteru Nakano; Takeshi Saito; Takehiro Kitagawa; Kunihiro Ueta; Ryo Miyaoka; Shigeru Nishizawa
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of UOEH     Volume:  33     ISSN:  0387-821X     ISO Abbreviation:  J. UOEH     Publication Date:  2011 Sep 
Date Detail:
Created Date:  2011-09-14     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7909645     Medline TA:  J UOEH     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  217-23     Citation Subset:  IM    
Affiliation:
Department of Neurosurgery, University of Occupational and Environmental Health, Japan. Yahatanishi-ku, Kitakyushu 807-8555, Japan.
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