|
Title
|
|
|
|
Successful surgical repair of progressive exophthalmos caused by a meningocele in a patient with neurofibromatosis Type 1 - Case report
|
|
|
Author
|
|
|
|
|
|
|
Abstract
|
|
|
|
| A case of surgical repair of progressive exophthalmos of the right eye in a 43-year-old woman with neurofibromatosis Type 1 (NFI) is presented. Preoperatively, the patient's ocular movements and visual fields were intact. Visual acuity was 20/30 on the right side and 20/20 on the left. Computerized tomography scanning demonstrated complete absence of the superolateral orbital wall on the right side with a large meningocele protruding into the right orbit. Intraoperatively, a new superolateral wall was constructed using the inner table of the left frontal bone as a bone transplant. A free galeoperiosteum flap was used for water-tight dural reconstruction. A few weeks postoperatively the patient's exophthalmos showed remarkable resolution. Her ocular movements, visual acuity, and visual fields remained unchanged. In conclusion, reconstruction of the superolateral wall and repair of a meningocele in a patient with NF1 is worthwhile and can be followed by excellent cosmetic results. More important, the patient's visual functions remain preserved. |
|
|
|
Language
|
|
|
|
English
|
|
|
Source (journal)
|
|
|
|
Journal of neurosurgery / American Association of Neurological Surgeons [Rolling Meadows, Ill.] - Rolling Meadows, Ill., 1944, currens
|
|
|
Publication
|
|
|
|
Rolling Meadows, Ill.
:
American Association of Neurological Surgeons
,
1998
|
|
|
ISSN
|
|
|
|
0022-3085
[print]
1933-0693
[online]
|
|
|
DOI
|
|
|
|
10.3171/JNS.1998.89.6.1032
|
|
|
Volume/pages
|
|
|
|
89
:6
(1998)
, p. 1032-1035
|
|
|
ISI
|
|
|
|
000078708200020
|
|
|
Full text (Publisher's DOI)
|
|
|
|
|
|