title: Managing menacing meningioma.
abstract: The role of irradiation therapy in the management of meningiomas involving the anterior visual system is under active clinical investigation. This report documents the value of radiotherapy in a patient with a histologically verified psammomatous tuberculum sellar meningioma and presents a 15-year postsurgical follow-up. The patient experienced a return of vision from 11/200 to 20/60 in his only seeing eye following 5,000 rads to the intracanicular and intracranial portions of right optic nerve. He is able to practice his profession 3 years following irradiation therapy. The classification of optic nerve involvement by meningioma is discussed.
mesh_terms: D000328:Adult; D003131:Combined Modality Therapy; D003390:Cranial Nerve Neoplasms / Q000532:radiotherapy*; D006801:Humans; D008297:Male; D008577:Meningeal Neoplasms / Q000532:radiotherapy*; D008579:Meningioma / Q000532:radiotherapy*; D009364:Neoplasm Recurrence, Local; D009901:Optic Nerve Diseases / Q000532:radiotherapy*; D012658:Sella Turcica; D014786:Vision Disorders / Q000209:etiology*; D014794:Visual Fields