Abstract Direct extension into the orbital portion of the optic nerve by glioma originating within the cranial cavity has long been recognized as a serious and difficult problem.1,3,5,9,14 Such tumors, as might be expected, originate most commonly from the prechiasmal portions of the optic nerves, from the optic chiasm, and from the neighboring regions of the frontal lobes of the brain. Thus, the diagnosis and management of these lesions usually require the attention of the ophthalmologist, the neurologist, and the neurosurgeon. Some reports in the past decade have indicated the frequency of orbital optic nerve involvement by such lesions and difficulties encountered in diagnosis and treatment.4,5,7,15 The case reported here is illustrative of many well recognized clinical features of this condition. It is recorded primarily to illustrate an unusual degree of arachnoidal meningeal proliferation which by clinical symptoms and signs, and appearance at surgical operation, closely resembled tumor invasion References 1. Chutorian, A.M., et al: Optic Gliomas in Children , Neurology 14:83-95, 1964.Crossref 2. Davis, F.A.: Primary Tumors of Optic Nerve , Arch Ophthal 23:735-821; 957-1022, 1940.Crossref 3. Dodge, H.W., Jr., et al: Gliomas of Optic Nerves , Arch Neurol Psychiat 79:607-621, 1957.Crossref 4. Fowler, F.D., and Matson, D.D.: Gliomas of Optic Pathways in Childhood , J Neurosurg 14:515-528, 1957.Crossref 5. Grote, W.: Zur Klinik und Behandlung der Tumoren des Nervus Opticus und des Chiasmas , Klin Mbl Augenheilk 144:841-855, 1964. 6. Hogan, M.J., and Zimmerman, L.E., (eds.): Ophthalmic Pathology, An Atlas and Textbook , ed 2, Philadelphia: W. B. Saunders Co, 1962, p 620. 7. Holman, C.B.: Roentgenologic Manifestations of Glioma of the Optic Nerve and Chiasm , Amer J Roentgen 82:462-471, 1959. 8. Marshall, D.: Glioma of optic nerve as a manifestation of von Recklinghausen's disease , Amer J Ophthal 37:15-30, 1954. 9. Martin, P., and Cushing, H.: Primary Gliomas of Chiasm and Optic Nerves in Their Intracranial Portion , Arch Ophthal 52:209-241, 1923. 10. Parsons, J.H.: The Pathology of the Eye , New York: G. P. Putnam's Sons, 1905, vol 2, pp 693-715. 11. Reese, A.B.: Tumors of the Eye , ed 2; New York: Hoeber Medical Division, Harper and Row, Publishers, Inc., 1963, p 167. 12. Verhoeff, F.H.: Primary Intraneural Tumors (Gliomas) of the Optic Nerve; a Histologic Study of Eleven Cases, Including a Case Showing Cystic Involvement of the Optic Disc, With Demonstration of the Origin of Cytoid Bodies of the Retina and Cavernous Atrophy of the Optic Nerve , Trans Amer Med Assoc Sect Ophthal , 1921, pp 146-183. 13. Verhoeff, F.H.: " Tumors of the Optic Nerve ," in Cytology and Cellular Pathology of the Nervous System , W. Penfield, (ed.), New York: Paul B. Hoeber, Inc., 1932, vol 3, pp 1029-1039. 14. Walsh, F.B.: Clinical Neuro-Ophthalmology , ed 2, Baltimore: Williams and Wilkens Co., 1957, p 994. 15. Wolter, J.R., and McKenney, M.J.: Collateral Hyperplasia and Cyst Formation of Orbital Leptomenix Secondary to Optic Nerve Glioma , Amer J Ophthal 57:1037-1042, 1964. 16. Zülch, K.J., and Nover, A.: Die Spongioblastome des Sehnerven , Graefe Arch Ophthal 161:405-419, 1960.Crossref
Archives of Ophthalmology – American Medical Association
Published: Sep 1, 1965
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