편측 시력 손실을 초래한 거대 안상 유피낭종의 수술적 치료

• 영문명: Surgical Management of a Giant Suprasellar Epidermoid Tumor with Unilateral Visual Loss
• 발행기관: 대한두개저학회
• 저자명: 이성호(Sung-Ho Lee) 고영초(Young-Cho Koh) 조준(Joon Cho) 오지영(Jee-Young Oh) 노홍기(Hong Gee Roh) 임소덕(So-Dug Lim)
• 간행물 정보: 『대한두개저학회지』제1권 제1호, 52~56쪽, 전체 5쪽
• 주제분류: 의약학 > 일반외과학
• 파일형태: PDF
• 발행일자: 2006.06.30

영문 초록

Suprasellar epidermoid tumor presenting with visual loss is rare. A 50-year-old woman was referred for treatment of a large well demarcated cystic mass at the suprasellar region. She had a history of left visual loss for several years. To preserve the vision of right side, we underwent VEP (visual evoked potential) preoperatively and monitored VEP during the surgery. During surgery, the right optic nerve was severely compressed by the tumor, and was successfully decompressed without damage to the optic nerve. The left optic nerve was more severely compressed by the fibrotic and calcified tumor capsule around the optic canal. The 6 cm sized multilobulated tumor was subtotally resected while preserving the visual functions of the right side. We report a case of giant epidermoid tumor with unilateral visual loss, for which surgical removal was aided by VEP monitoring to save the only remaining vision.

목차

서론

증례

고찰

결론

키워드

Parasellar Epidermoid cyst Visual loss VEP monitoring