Meningocele, glioma y meningioma del nervio ópticodiagnóstico diferencial y tratamiento
- I Genol
- J Troyano
- M Ariño
- I Iglesias
- P Arriola
- J García-Sánchez
ISSN: 0365-6691
Year of publication: 2009
Volume: 84
Issue: 11
Pages: 563-568
Type: Article
More publications in: Archivos de la Sociedad Española de Oftalmologia
Abstract
Purpose: After studying 3 clinical cases, we have reviewed the clinical and radiological characteristics of meningocele, meningioma and optic nerve glioma. The differential diagnosis and therapeutic management are also discussed. Methods: Review of three clinical reports of three patients seen in our unit and a bibliographic search concerning the diagnosis and therapeutic management of these three entities at the present time. Results: Differential diagnosis has to be based on a wide range of parameters: epidemiologic (age, race, sex, prevalence of the tumors), clinical (visual acuity, perimetry, Hertel exophthalmometry and funduscopy) and radiologic (computed tomography and magnetic resonance). Anatomopathologic study is required only rarely. The therapeutic options are: observation, surgery and radiotherapy. Conclusion: A correct differential diagnosis is mandatory to be able to individualize the treatment for each entity.