| Treatment of Compressive Optic Neuropathy by Recurred Maxillary Cancer Using Stereotactic Radiosurgery: A Case Report. |
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Sang Yul Choi, Sang Min Youn |
1Department of Ophthalmology, Korea Institute of Radiological & Medical Sciences, Seoul, Korea. cedere@hanmail.net
2Department of Neurosurgery, Korea Institute of Radiological & Medical Sciences, Seoul, Korea. |
| 재발된 상악암에 의한 압박 시신경병증을 정위적 방사선수술로 치료한 1예 |
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최상열1⋅윤상민2 |
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Departments of Ophthalmology1 and Neurosurgery2, Korea Institute of Radiological & Medical Sciences, Seoul, Korea |
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| Abstract |
PURPOSE
To report a case of a female patient treated with stereotactic radiosurgery for compressive optic neuropathy by recurred maxillary cancer. CASE SUMMARY: A 51-year-old woman with a history of maxillary cancer presented with decreased visual acuity and visual field and color vision defects in the right eye. The CT scan revealed a wide spread mass along the ethmoid sinus, orbit, optic canal, and skull base. Under the impression of compressive optic neuropathy, stereotactic radiosurgery was performed. A cumulative dose of 39 Gy in 3 daily fractions of 13 Gy was administered to the mass. After 10 days, visual acuity, color vision, and visual field improved and were maintained after a 2 month follow-up. CONCLUSIONS: Stereotactic radiosurgery could be another treatment option for patients with compressive optic neuropathy caused by a malignant tumor. |
| Key Words:
Compressive;Neuropathy;Optic;Radiosurgery;Stereotactic |
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