A report of ۶ cases proptosis due to meningiomas in neurosurgical department of Ghaem medical center

  • سال انتشار: 1386
  • محل انتشار: مجله علمی گوش و حلق و بینی ایران، دوره: 19، شماره: 48
  • کد COI اختصاصی: JR_IJOTO-19-48_007
  • زبان مقاله: انگلیسی
  • تعداد مشاهده: 129
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نویسندگان

Mohammad Faraji

Assistant Professor, Department of Neurosurgery, Mashhad University of Medical Sciences

Babak Ganjeifar

Neurosurgery resident of Mashhad University of Medical Sciences

Maryam Hosseini

Ophthalmologist at Emdad Hospital, Mashhad University of Medical Sciences

چکیده

Introduction: intracranial meningiomas, with extension into the orbit through bone, the superior orbital fissure, or the optic canal, and optic nerve sheath meningiomas can lead to proptosis and visual loss. In this study we evaluated meningiomas’s cases presented with proptosis in Ghaem Hospital from ۱۳۷۴ to ۱۳۸۴ with respect to etiological factors, clinical findings, imaging studies, histopathological and prognostication. Materials and Methods: we reviewed medical records of fifty patients that because of orbital mass and proptosis underwent cranio-orbital surgery, then cases of meningiomas (a with respect to pathology) selected. The chi-square test was used for the statistical analysis. Results: Of fifty cases with proptosis, ۶ cases (۱۲%) were meningiomas with orbital involvement. In ۶ meningioma’s cases, ۵ (۸۳%) were intracranial sphenoid wing meningiomas with orbital extension and ۱ (۱۷%) was optic nerve sheath meningiomas. Of six patients with meningiomas’s diagnosis, there were women (۶۷%) and men. Mean age of patients in secondary meningiomas was ۵۴.۴ years (۴۳-۷۰ years) and in one primary meningiomas age was ۲۱ years. In all cases there was decreased vision in addition to proptosis. Conclusion: The most common orbital meningiomas were secondary that arise intracranial. Visual loss is frequent; The most common cause of proptosis in neurosurgery ward is sphenoid wing meningiomas.

کلیدواژه ها

Proptosis, Visual loss, Meningiomas. I

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