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Meningioma

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Ocular Adnexal Lesions

Abstract

Optic nerve sheath meningiomas (ONSMs) are rare orbital tumours and represent 1–2% of all meningiomas. They occur more commonly in middle-aged females and can lead to slow, progressive blindness. They are known to be associated with neurofibromatosis type 2 (NF-2). Sphenoidal wing meningiomas arise from the meningothelial cells of arachnoid on the inner surface of the dura. They make up about 13–18% of all intracranial tumours. They present with proptosis, visual impairment, and ocular motility disturbance due to the expansion and encroachment of the mass into the superior orbital fissure.

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Further Reading

  1. Liu G, Volpe N, Galetta S. Neuro-ophthalmology diagnosis and management. 2nd ed. Philadelphia: Saunders Elsevier; 2010. p. 167–70.

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  2. Saeed P, Rootman J, Nugent RA, White VA, Mackenzie IR, Koornneef L. Optic nerve sheath meningiomas. Ophthalmology. 2003;110(10):2019–30.

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  3. Saeed P, Blank L, Selva D, Wolbers JG, Nowak PJCM, Geskus RB, Weis E, Mourits MP, Rootman J. Primary radiotherapy in progressive optic nerve sheath meningiomas: a long-term follow-up study. Br J Ophthalmol. 2010;94(5):564–8.

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  4. Sughrue ME, Rutkowski MJ, Chen CJ, Shangari G, Kane AJ, Parsa AT, et al. Modern surgical outcomes following surgery for sphenoid wing meningiomas. J Neurosurg. 2013;119:86–93.

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  5. Walsh and Hoyt’s clinical neuro-ophthalmology: the essentials. 2nd ed. Philadelphia: Lippincott Williams & Wilkins; 2008. p. 178.

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Correspondence to Shantha Amrith .

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© 2019 Springer Nature Singapore Pte Ltd.

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Lin, H.A. et al. (2019). Meningioma. In: Amrith, S., Sundar, G., Young, S. (eds) Ocular Adnexal Lesions. Springer, Singapore. https://doi.org/10.1007/978-981-13-3798-7_27

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  • DOI: https://doi.org/10.1007/978-981-13-3798-7_27

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-13-3797-0

  • Online ISBN: 978-981-13-3798-7

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