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近十年来,我院已遇到有眼部症状的颅内肿瘤5例,现报告如下。临床资料例1 顾××,女,25岁,工人。1982年5月来门诊,自诉视力减退已三四个月,曾诊断为球后视神经炎,治疗无效。检查:视力右4.0,左4.0,两眼瞳孔稍大,对光反应迟钝。眼底:两眼视乳头颞侧苍白。头颅x 线片提示蝶鞍区肿瘤。术后效果良好。例2 吴××,男,48岁,教师。1984年9月来门诊,自诉两眼看远看近均不清楚已一月余,既往视力正常。检查:远视力右4.7,左4.7;近视力右4.7,左4.7;两眼远近视力均不能矫正。外眼(—),眼底无明显异常发现。疑诊为球后视神经炎,治疗无效。头颅x 线片诊断为垂体肿瘤。术后两眼视力均恢复正常。
The past decade, our hospital has encountered ocular symptoms of intracranial tumors in 5 cases, are as follows. Clinical data example 1 Gu × ×, female, 25 years old, workers. May 1982 to clinic, private prosecution vision loss has been three or four months, had diagnosed as retrobulbar neuritis, treatment is invalid. Check: visual acuity 4.0, left 4.0, two pupils slightly larger, slow reaction to light. Fundus: Both eyes of the temporal panicle nipple. Skull x-ray tips sella district tumor. Postoperative effect is good. Example 2 Wu × ×, male, 48 years old, teacher. 1984 September outpatient, self-prosecution Both eyes look far do not know nearly have more than a month, the past, normal vision. Check: far right vision 4.7, left 4.7; near vision right 4.7, left 4.7; eyes near and far vision can not be corrected. Outer eye (-), fundus no obvious abnormalities found. Suspected of posterior optic neuritis, treatment is invalid. Skull x-ray diagnosis of pituitary tumors. Postoperative visual acuity both eyes returned to normal.