[Ophthalmologic symptoms in meningioma of the orbits and in the anterior and medial cranial fossa].
The records of 182 patients treated for a meningioma of the orbit or the periorbital region between 1971 and 1989 were analyzed.


METHODS
There were 138 women (76%) and 44 men (24%). Twenty patients had a meningioma of the optic nerve sheath, 78 patients a meningioma involving the sphenoid wing, 29 a meningioma within the sella region, 36 patients a meningioma of the anterior cranial fossa and 19 patients a meningioma of the medial cranial fossa.


RESULTS
As an initial symptom 53% complained of decreased vision, 25% of headaches and 16% had exophthalmos. At the first ocular examination visual acuity was decreased below 0.1 in 22%. In 58 eyes we found papilledema and in 60 eyes optic atrophy. Other manifestations were visual field defects, ocular motility deficits in 20%. Histologically the meningiomas were most commonly of the endotheliomatous type (72%). In 23% of the patients, the tumor recurred, which manifested itself in a third by ocular symptoms.
Lieb
W E
WE
Universitäts-Augenklinik Mainz.
Rochels
R
R
Wallenfang
T
T
Ahl
G
G
D000328:Adult; D000368:Aged; D003390:Cranial Nerve Neoplasms / Q000175:diagnosis* / Q000503:physiopathology / Q000601:surgery; D005133:Eye Movements / Q000502:physiology; D005260:Female; D005654:Fundus Oculi; D006801:Humans; D008297:Male; D008577:Meningeal Neoplasms / Q000175:diagnosis* / Q000503:physiopathology / Q000601:surgery; D008579:Meningioma / Q000175:diagnosis* / Q000503:physiopathology / Q000601:surgery; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery; D009900:Optic Nerve / Q000503:physiopathology / Q000601:surgery; D009901:Optic Nerve Diseases / Q000175:diagnosis* / Q000503:physiopathology / Q000601:surgery; D014792:Visual Acuity / Q000502:physiology; D014794:Visual Fields / Q000502:physiology
Ophthalmologische Symptomatik bei Meningeomen in der Orbita und in der vorderen und mittleren Schädelgrube.