@article{oai:toyama.repo.nii.ac.jp:00002260, author = {Kurimoto, Masanori and Endo, Shunro and Onizuka, Keiichiro and Akai, Takuya and Takaku, Akira}, issue = {2}, journal = {Neurologia medico-chirurgica : 神経外科}, month = {Feb}, note = {application/pdf, A 10-year-old boy with progressive left visual disturbance associated with craniobasal fibrous dysplasia underwent left frontotemporal craniotomy. Dysplastic lesions of the sphenoid ridge, orbital roof, anterior clinoid, and ethmoid sinus were removed through an extradural pterional approach and the optic nerve was completely decompressed. His vision was markedly improved postoperatively. Consecutive follow-up studies for 3 years have shown no deterioration of his visual acuity. Early optic nerve decompression is highly recommended to preserve visual function in patients with craniofacial fibrous dysplasia causing visual disturbance. 症例は10歳、男児。進行する左眼視力低下を主訴に入院した。神経放射線学的所見から頭蓋底部fibrous dysplasiaと診断し、左前頭側頭開頭を行った。硬膜外アプローチにて蝶形骨翼、眼窩上壁、前床突起、篩骨洞内に増殖した病的骨組織を切除し、左視神経管を解放し視神経を徐圧した。術後、左眼視力は劇的に改善しその後3年間にわたる経過観察期間中に視力の再増悪は認めていない。視力低下を主訴とする顔面頭蓋骨のfibrous dysplasiaの症例に対しては、早期の積極的な外科治療が行われるべきである。, Article}, pages = {102--105}, title = {Extradural Optic Nerve Decompression for Fibrous Dysplasia with a Favorable Visual Outcome : Case Report}, volume = {36}, year = {1996} }