Role for surgery as adjuvant therapy in optic nerve sheath meningioma.

Purpose: To describe a role for optic nerve decompression as adjuvant surgical therapy in the management of optic nerve sheath meningioma in patients with severe, progressive visual loss and optic disc edema before or after radiation therapy.

Methods: Interventional case report.

Results: Two patients with unilateral optic nerve sheath meningioma had progressive visual loss (20/200 and no light perception) and disc edema.

Superior ophthalmic vein thrombosis in a patient with dacryocystitis-induced orbital cellulitis.

A 71-year-old-man presented with chronic left-sided epiphora and a 5-day history of progressive left orbital swelling that had started with a "bump" on the left side of his nose. Orbital CT revealed left-sided preseptal and postseptal inflammation, along with marked thickening of the left superior ophthalmic vein. Orbital MRI with gadolinium enhancement and fat suppression revealed a low-intensity signal in the left superior ophthalmic vein, consistent with a superior ophthalmic vein thrombosis.

A long-term visual outcome comparison in patients with optic nerve sheath meningioma managed with observation, surgery, radiotherapy, or surgery and radiotherapy.

Purpose: Comparison of treatment outcome in patients with primary optic nerve sheath meningioma (ONSM).

Design: Retrospective, nonrandomized, comparative interventional case series.

Participants: Sixty-four patients with at least 50 months of well-documented follow-up.

Visual field deficit caused by vascular compression from a suprasellar meningioma: case report.

Objective And Importance: Suprasellar meningiomas typically cause bitemporal hemianopsia by direct compression of the chiasm, its blood supply, or both. We report another mechanism for visual loss in suprasellar meningiomas, whereby compression by the suprajacent vascular complex is the offending agent.

Clinical Presentation: A 78-year-old woman with a suprasellar meningioma was diagnosed incidentally.